Individual
KELI JAYNE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1020 SW TAYLOR ST, SUITE 260, PORTLAND, OR 97205-2543
(503) 242-3521
(503) 222-3741
Mailing address
4044 NE 15TH AVE, PORTLAND, OR 97212-1323
(503) 242-3521
(503) 222-3741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1682
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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