Individual
AUBREY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3125 NE HOLLADAY ST STE B, PORTLAND, OR 97232-2504
(805) 464-1514
Mailing address
3125 NE HOLLADAY ST STE B, PORTLAND, OR 97232-2504
(805) 464-1514
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
209973
OR
171100000X
Acupuncturist
AC15655
CA
Other
Enumeration date
12/02/2013
Last updated
02/17/2023
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