Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE L GRAYBOSCH, PA-C
ActiveKELLIE L GRAYBOSCH, PA-C is a Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1720362882 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1720362882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2011 (14.853864041947 yrs)
- Last Updated
- Mar 10, 2021
- License
-
PA156616 (OR)
Practice Information
- Address
-
9427 SW BARNES RDSTE 495PORTLAND, OR, 972256652Browse OR providers · Browse ZIP 97225
- Phone
- 5032161661
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SCOTT PRESTON BEYER | PA-C | 1295737997 |
| LEON QUINTON COLBURN | PA | 1578565339 |
| ROBERT LOUIS COURTOX | PA | 1184626970 |
| JONATHAN REUEL VAN HORN | PAC | 1992798060 |
| JENNY L HUME | PA C | 1851387666 |
| JOHNNY YUN | PA C | 1538155312 |
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.