Individual
KELLY EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8196 SW HALL BLVD STE 230, BEAVERTON, OR 97008-6401
(541) 638-0830
(503) 641-5179
Mailing address
8196 SW HALL BLVD STE 230, BEAVERTON, OR 97008-6401
(541) 638-0830
(503) 641-5179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/20/2020
Last updated
01/26/2024
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