KELLY MAHARA BARTHOLOMEW

PORTLAND, OR
NPI1255328290
Former NameKELLY MAHARA CHARLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2005-10-04
Last Update Date2015-05-01
Business Address
-- KELLY MAHARA BARTHOLOMEW PA-C
2226 NW PETTYGROVE
PORTLAND, OR 97210
Phone number: 503-223-6223
Mailing Address
-- KELLY MAHARA BARTHOLOMEW PA-C
2230 NW PETTYGROVE #210
PORTLAND, OR 97210
Phone number: 503-223-6223