JILL KELLY NPI 1396292652

NPI Information

  • NPI: 1396292652
  • Provider Name: JILL KELLY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1306 NW HOYT ST STE 407
    PORTLAND, OR
    ZIP 97209
  • Phone: (971) 407-3930

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NPI Details

Jill Kelly is a professional counselor in Portland, OR. Jill Kelly NPI is 1396292652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1306 NW HOYT ST STE 407
PORTLAND, OR
ZIP 97209-787
Phone: (971) 407-3930

The NPI 1396292652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/4/2016 and was last updated on 9/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalC5967OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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