Tim Ray Kelly
Tim Ray Kelly is a Peer Specialist in Lincoln City, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
1221 NW Highway 101 Ste ALincoln City, OR 97367-3351
Phone: (442) 244-1336
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000106995 (OR) |
|---|
Record details
| NPI number | 1003535386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 22, 2022 |
| Mailing address | 1221 Nw Highway 101 Ste A, Lincoln City, OR 97367-3351 |
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