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Individual

KATHLEEN KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
15110 BOONES FERRY RD STE 248, LAKE OSWEGO, OR 97035-3498
(503) 830-3215
(503) 699-4133
Mailing address
15110 BOONES FERRY RD STE 248, LAKE OSWEGO, OR 97035-3498
(503) 830-3215
(503) 699-4133

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950083NP
OR

Other

Enumeration date
07/08/2009
Last updated
12/08/2011
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