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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MCMULLEN, LMT

Active Sole Proprietor

KELLY MCMULLEN, LMT is a 405300000X healthcare provider located in PORTLAND, Oregon. NPI 1558892471 is currently active in the NPPES registry. Verify at CMS.

405300000X · PORTLAND, OR

Registration Details

NPI Number
1558892471
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2017 (9.4065164843012 yrs)
Last Updated
Mar 22, 2017
License
20211 (OR)
Sole Proprietor
Yes

Practice Information

Address
819 SE MORRISON ST
SUITE 140
PORTLAND, OR, 972146307
Browse OR providers · Browse ZIP 97214
Phone
7024806028
Primary Specialty
405300000X
405300000X

Other 405300000X Providers in PORTLAND, OR

Name Credential NPI
DALI SINGH LMT 1881131183
MS. CAROLINE JEAN CAULFIELD 1376083121
VICTOR MANUEL SALINAS 1497592083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.