LORI H KELLY PA-C NPI 1689670226

NPI Information

NPI: 1689670226
Provider Name: LORI H KELLY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3303 SW BOND AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 494-4373
Get Directions

Lori H Kelly, PA-C is a medical physician assistant in Portland, OR. Lori H Kelly, PA-C NPI is 1689670226. 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:

3303 SW BOND AVE
PORTLAND, OR
ZIP 97239-501
Phone: (503) 494-4373

The enumeration date for this NPI number is 6/27/2005 and was last updated on 8/23/2010.

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
1	363AM0700X	Physician Assistant	Medical	PA00942	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	500602706	MEDICAID	OREGON
2	Q15772	MEDICARE UPIN	OREGON
3	8502619	MEDICAID	WASHINGTON
4	1403454	MEDICARE PIN	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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