Kelly Mcmullen, LMT

NPI #1558892471 in Portland, Oregon

Provider Information

NPI Number: 1558892471
Entity Type: Individual
Name: Kelly Mcmullen, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prevention Professional
Credential: LMT
Enumeration Date: Mar 22, 2017
Last Updated: Mar 22, 2017

Practice Location

Address: 819 SE MORRISON ST
Address 2: SUITE 140
City: Portland
State: Oregon
ZIP Code: 97214-6307
Phone: (702) 480-6028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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