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1568691756
KATHLEEN KELLEY
LAKE OSWEGO, OR
NPI
1568691756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200950083NP)
Enumeration Date
2009-07-08
Last Update Date
2011-12-08
Business Address
-- KATHLEEN KELLEY PMHNP
15110 BOONES FERRY RD STE 248
LAKE OSWEGO, OR 97035-3498
Phone number: 503-830-3215
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Mailing Address
-- KATHLEEN KELLEY PMHNP
15110 BOONES FERRY RD STE 248
LAKE OSWEGO, OR 97035-3498
Phone number: 503-830-3215
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