Colleen M Kelly in Portland - Professional

Colleen M Kelly - NPI 1720117674

Colleen M Kelly is a Professional in Portland, Oregon. Colleen M Kelly practices all healthcare services and medical treatments related to Professional. The NPI Number for Colleen M Kelly is 1720117674. The last update date is 2014-09-19.

Colleen M Kelly's current location address is 537 Se Alder St, Portland, Oregon. You can contact this provider via phone number 5039729633 and fax number 5039729636. The mailing address for Colleen M Kelly is 537 Se Alder St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen M Kelly
Address 537 Se Alder St, Portland, Oregon
Phone Number 5039729633
Fax Number 5039729636
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1720117674
Provider Enumeration Date 2007-03-05
Last Updated Date 2014-09-19

Provider Mailing Address Detail

Address 537 Se Alder St
City Portland
State Oregon (OR)
Post Code 972142231
Phone Number 5039729633
Fax Number 5039729636

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No C1691
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Colleen M Kelly

What is the unique identifier code issued to Colleen M Kelly by the Centers for Medicare & Medicaid Services?

The Colleen M Kelly has been assigned the NPI (National Provider Identifier) 1720117674. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Colleen M Kelly is physically located?

The Colleen M Kelly is physically situated at the following address: 537 Se Alder St, Portland, OR, 972142231.

What is the area of specialization for Colleen M Kelly, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Colleen M Kelly is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720117674 to Colleen M Kelly?

The Colleen M Kelly received its 1720117674 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.

When was the information related to Colleen M Kelly most recently updated or refreshed?

The details pertaining to the Colleen M Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-19.

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