Kellermann, Brenda Lee

Kellermann, Brenda Lee is an individual health care provider with primary practice located at 2415 Se 43Rd Ave Suite 200, Portland OR 97206-1600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kellermann, Brenda Lee can be contacted via phone (503) 230-9654.

Contact Information

Primary practice address
2415 Se 43Rd Ave Suite 200 Portland OR 97206-1600
Phone: (503) 230-9654
Fax: (503) 239-5953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1255487674
LBN Legal business name Kellermann, Brenda Lee
Credentials CADC1,QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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