KELLY WHITESIDE

PORTLAND, OR
NPI1588188106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2017-07-26
Last Update Date2017-07-26
Business Address
KELLY WHITESIDE
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
Mailing Address
KELLY WHITESIDE
16226 NW CIDER LN
PORTLAND, OR 97229-7962
Phone number: 913-850-2524