Organization
KELLY PRILL NATUROPATHIC PHYSCIAN, LLC
Active
Other names
Elemental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PRILL N.D. (OWNER)
(971) 270-0220
Entity
Organization
Contact information
Practice address
200 NE 20TH AVE, SUITE 20, PORTLAND, OR 97232-3094
(971) 270-0220
Mailing address
6715 N WILBUR AVE, PORTLAND, OR 97217-5252
(971) 270-0220
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1853
OR
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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