Chelucci, Kelly Lane

Chelucci, Kelly Lane is an individual health care provider with primary practice located at 55 Ne Grand Ave , Portland OR 97232-2968. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Chelucci, Kelly Lane can be contacted via phone (503) 232-1099.

Contact Information

Primary practice address
55 Ne Grand Ave Portland OR 97232-2968
Phone: (503) 232-1099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201391448RN Oregon
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN60350088 Washington

Profile Details

NPI number 1437505658
LBN Legal business name Chelucci, Kelly Lane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated May 6th, 2016 - about 9 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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