Individual
KELCEE STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 SW BARBUR BLVD, SUITE #205, PORTLAND, OR 97239-4047
(503) 768-6325
Mailing address
9861 SW 35TH DR, APT. 41, PORTLAND, OR 97219-6141
(318) 801-9468
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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