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1437766862
KELLI DERRAH
PORTLAND, OR
NPI
1437766862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
KELLI DERRAH
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-550-6141
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Mailing Address
KELLI DERRAH
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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