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1699911131
KELLY OWEN
PORTLAND, OR
NPI
1699911131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-01-06
Last Update Date
2009-01-06
Business Address
KELLY OWEN
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
KELLY OWEN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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