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1891058822
KELLY THERESA HALL
PORTLAND, OR
NPI
1891058822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
Miss KELLY THERESA HALL
3415 SE POWELL BLVD
PORTLAND, OR 97202
Phone number: 503-234-9591
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Mailing Address
Miss KELLY THERESA HALL
2831 NW BIRKENDENE ST
PORTLAND, OR 97229-8081
Phone number: 503-729-7185
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