Organization
ALISHA KELLEY LCSW,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISHA INEZ KELLEY LCSW (SOCIAL WORKER)
(503) 358-2146
Entity
Organization
Contact information
Practice address
401 NE 19TH AVE STE 200, PORTLAND, OR 97232-4800
(971) 377-9506
Mailing address
401 NE 19TH AVE STE 200, PORTLAND, OR 97232-4800
(503) 358-2146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
10/20/2023
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