Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE KELLY, PA-C
ActiveNICOLE KELLY, PA-C is a Medical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1588493050 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1588493050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2024 (2.0574654254122 yrs)
- Last Updated
- Oct 8, 2024
- License
-
PA220357 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034944314
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| IZABELA MACIOLEK | PA-C | 1699771238 |
| PATRICK M BIRBECK | PAC | 1851397400 |
| NICOLE E. PARKER | PA-C | 1669478210 |
| LORI H KELLY | PA-C | 1689670226 |
| ROBERT TODD DIXON | P.A. | 1982602421 |
| ALYSSA RACHAEL PACE | PA-C | 1275527483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.