KELLY MARIA MUNOZ NPI 1972168706

NPI Information

NPI: 1972168706
Provider Name: KELLY MARIA MUNOZ
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
6924 NE SANDY BLVD
PORTLAND, OR
ZIP 97213
Phone: (503) 300-4111
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Kelly Maria Munoz is a medical physician assistant in Portland, OR. Kelly Maria Munoz NPI is 1972168706. 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:

6924 NE SANDY BLVD
PORTLAND, OR
ZIP 97213-256
Phone: (503) 300-4111
Fax: (503) 954-2122

The enumeration date for this NPI number is 5/7/2019 and was last updated on 12/29/2023.

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	PA193788	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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