DR. KELLI LEA HOLLOWAY M.D. NPI 1548408206

NPI Information

  • NPI: 1548408206
  • Provider Name: DR. KELLI LEA HOLLOWAY, M.D.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4800 SW MACADAM AVENUE
    SUITE 325
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 295-7900

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NPI Details

DR. Kelli Lea Holloway, M.D. is a professional counselor in Portland, OR. DR. Kelli Lea Holloway, M.D. NPI is 1548408206. 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:

4800 SW MACADAM AVENUE
SUITE 325
PORTLAND, OR
ZIP 97239-927
Phone: (503) 295-7900
Fax: (503) 224-8883

The NPI 1548408206 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 2/3/2009.

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
1101YP2500XCounselorProfessionalMD23361OREGONYes

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: 11/21/2025

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