JACK DOUGLAS KELLEY

PORTLAND, OR
NPI1265873343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C3282)
Enumeration Date2013-07-17
Last Update Date2013-12-17
Business Address
Mr. JACK DOUGLAS KELLEY L.P.C.
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
Mailing Address
Mr. JACK DOUGLAS KELLEY L.P.C.
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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