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1922696202
KELLY LANDRETH
PORTLAND, OR
NPI
1922696202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
KELLY LANDRETH
4400 NE HALSEY ST BLDG 2 THIRD FLOOR
PORTLAND, OR 97213
Phone number: 503-893-6472
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Mailing Address
KELLY LANDRETH
2121 NW RALEIGH ST APT 647
PORTLAND, OR 97210-2149
Phone number: 503-421-1434
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