Individual
KELLY HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
511 SW 10TH AVE STE 801, PORTLAND, OR 97205-2709
(503) 230-8973
(503) 230-8978
Mailing address
511 SW 10TH AVE STE 801, PORTLAND, OR 97205-2709
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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