Individual
MR. PAUL GERARD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
405 NE 5TH ST, GRESHAM, OR 97030-7345
(503) 666-5600
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2945
OR
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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