Individual provider · Type 1 NPI

Kelley Marie Henry, DC, PhD, LMT, HFS

Chiropractor · Portland, OR

NPI number 1013257682 Active

Practice location

2600 NW Vaughn St
Portland, OR 97210-2224

Mailing address

2465 NW Raleigh St, Apt. 107
Portland, OR 97210-2648

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X18150 (OR)
Chiropractor Primary 111N00000X5893 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1013257682

Kelley Marie Henry, DC, PhD, LMT, HFS's National Provider Identifier is 1013257682, issued on Feb 19, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2018.