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Search › Oregon › 171100000X

Olivia Kellar, LAC, MACOM, LMT

NPI 1598191009 · on the registry since 2013 · sole proprietor

Practice

Address
636 Se 49th Ave
Portland, OR 97215
Phone
(971) 506-4560
Organisation at this address
The Golden Room Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
225700000X
Licence states on file
OR, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon