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1639930779
DAVID ALLEN KELLY
PORTLAND, OR
NPI
1639930779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202207583NP-PP)
Enumeration Date
2024-01-16
Last Update Date
2024-05-07
Business Address
DAVID ALLEN KELLY CRNP
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-6346
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Mailing Address
DAVID ALLEN KELLY CRNP
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855
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