KELLY DAWN HATTERSHIDE STROMBERG

PORTLAND, OR
NPI1841708054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
KELLY DAWN HATTERSHIDE STROMBERG
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
Mailing Address
KELLY DAWN HATTERSHIDE STROMBERG
7314 N FISKE AVE
PORTLAND, OR 97203-4518
Phone number: 503-410-0228
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