MISS KELLY THERESA HALL
NPI 1891058822
Counselor - Mental Health in Portland, OR
Active since June 25, 2012
About Miss Kelly Theresa Hall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY THERESA HALL (NPI 1891058822) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2012.
NPPES Registry Identity
NPI1891058822
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KELLY THERESA HALL
Location Address3415 SE POWELL BLVDPortland, OR 97202
Mailing Address2831 Nw Birkendene StPortland, OR 97229-8081 · (503) 729-7185
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateJune 25, 2012
✔ NPI 1891058822 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3415 SE POWELL BLVD, Portland, OR 97202
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891058822, enumerated as an "individual" on June 25, 2012.
The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
