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1689670226
LORI H KELLY
PORTLAND, OR
NPI
1689670226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00942)
Enumeration Date
2005-06-27
Last Update Date
2010-08-23
Business Address
-- LORI H KELLY PA-C
3303 SW BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-4373
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Mailing Address
-- LORI H KELLY PA-C
3181 SW SAM JACKSON PARK RD GH 219
PORTLAND, OR 97239-3011
Phone number: 503-494-1484
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