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1437529377
KELLEY SHIELDS
PORTLAND, OR
NPI
1437529377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- KELLEY SHIELDS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
-- KELLEY SHIELDS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number:
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