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Individual

KELLIE J ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
870 82ND DR BLDG C, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 594-8193
Mailing address
PO BOX 82819, PORTLAND, OR 97282

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/30/2009
Last updated
07/03/2017
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