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1578585501
KIM MICHELLE KELLY
PORTLAND, OR
NPI
1578585501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 47017)
Enumeration Date
2006-07-25
Last Update Date
2023-03-07
Business Address
-- KIM MICHELLE KELLY M.D.
12710 SE DIVISION STREET
PORTLAND, OR 97236
Phone number: 503-988-3601
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Mailing Address
-- KIM MICHELLE KELLY M.D.
421 SW OAK ST. #210
PORTLAND, OR 97204
Phone number: 503-988-3663
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