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1669194254
WILLIAM KELLY MCBRIDE
PORTLAND, OR
NPI
1669194254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202210055NP-PP)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
WILLIAM KELLY MCBRIDE PMHNP
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
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Mailing Address
WILLIAM KELLY MCBRIDE PMHNP
2121 SE BELMONT ST APT 330
PORTLAND, OR 97214-3471
Phone number: 585-755-7239
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