Individual
KELLY A DRURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACOM, LAC
Contact information
Practice address
4041 SE YAMHILL ST, PORTLAND, OR 97214-4444
(973) 865-7109
Mailing address
4041 SE YAMHILL ST, PORTLAND, OR 97214-4444
(973) 865-7109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170149
OR
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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