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KELLY MCMULLEN LMT NPI 1558892471


NPI Information

NPI: 1558892471
Provider Name: KELLY MCMULLEN, LMT
Classification: Prevention Professional - 405300000X
Entity Type: Individual
Address:
819 SE MORRISON ST
SUITE 140
PORTLAND, OR
ZIP 97214
Phone: (702) 480-6028
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Kelly Mcmullen, LMT is a prevention professional in Portland, OR. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. Kelly Mcmullen, LMT NPI is 1558892471. 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:

819 SE MORRISON ST
SUITE 140
PORTLAND, OR
ZIP 97214-307
Phone: (702) 480-6028

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1405300000XPrevention Professional20211OREGONYes

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: 4/28/2024

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