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Individual

DR. KELLY ANNE GOUDREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
3710 SW US VETERANS HOSP RD, PORTLAND, OR 97207-1034
(503) 220-8262
(503) 220-3441
Mailing address
4118 NE 131ST PL, PORTLAND, OR 97230-1420
(503) 220-8262
(503) 220-3441

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
OR

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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