Individual
DR. KELSEY PORTIA KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13333 SW 68TH PKWY STE 20, TIGARD, OR 97223-9354
(503) 352-0240
Mailing address
327 NE 65TH AVE, PORTLAND, OR 97213-5013
(818) 517-6526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
463131
OR
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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