KELLIE FAYE FELLEN

PORTLAND, OR
NPI1871846337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-22
Last Update Date2012-10-22
Business Address
-- KELLIE FAYE FELLEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
Mailing Address
-- KELLIE FAYE FELLEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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