Individual
KELLY OSMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 397, PORTLAND, OR 97239-6104
(503) 221-4243
(503) 228-4732
Mailing address
5331 SW MACADAM AVE, SUITE 397, PORTLAND, OR 97239-6104
(503) 221-4243
(503) 228-4732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L0908
OR
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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