KATHLEEN KELLEY PMHNP NPI 1568691756

NPI Information

  • NPI: 1568691756
  • Provider Name: KATHLEEN KELLEY, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15110 BOONES FERRY RD STE 248
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (503) 830-3215

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NPI Details

Kathleen Kelley, PMHNP is a psychiatric/mental health nurse practitioner in Lake Oswego, OR. Kathleen Kelley, PMHNP NPI is 1568691756. 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:

15110 BOONES FERRY RD STE 248
LAKE OSWEGO, OR
ZIP 97035-498
Phone: (503) 830-3215
Fax: (503) 699-4133

The NPI 1568691756 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 7/8/2009 and was last updated on 12/8/2011.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health200950083NPOREGONYes

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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