SearchOregon171100000X

Kelly Drury, MACOM, LAC

NPI 1821495888 · on the registry since 2014 · sole proprietor

Practice

Address
4041 Se Yamhill St
Portland, OR 97214
Phone
(973) 865-7109

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-19

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