Individual
MRS. KELLI R HARRINGTON-BOLLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9135 SW BARNES RD, STE 261, PORTLAND, OR 97225-6646
(503) 215-3053
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14055789
OR
Other
Enumeration date
09/25/2014
Last updated
02/03/2017
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