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1871846337
KELLIE FAYE FELLEN
PORTLAND, OR
NPI
1871846337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-22
Last Update Date
2012-10-22
Business Address
-- KELLIE FAYE FELLEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
-- KELLIE FAYE FELLEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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