KELLIE OOSTERBAAN PSYD RD PC
Social Work at Marina Way, Dee, OR

License number
Oregon 1642
Category
Social Work
Type
Clinical
Owner
Name: DR. KELLIE OOSTERBAAN PSYD RD
Title: PRESIDENT
Phone: (541) 788-5744
Address
Address
1100 E Marina Way STE 221, Dee, OR 97031
National Provider ID: 1609940030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KELLIE OOSTERBAAN, PSY.D., R.D., PC

704 Columbia St, Hood River, OR 97031

Registration:
Jul 27, 2005
State ID:
30204994
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Kellie Oosterbaanwolff,704 Columbia St, Hood River, OR 97031 (Physical)

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