KELLY WILLIAM RYDLUND (NPI# 1306802269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306802269 |
| Entity Type | Individual |
| Full Name | KELLY WILLIAM RYDLUND |
| Credential | MD |
| Practice Address |
1508 Division St Suite 115 Oregon City OR 97045-1582 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5036560601 |
| Practice Fax Number | 5036561389 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD25603 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038805 | 05 | |
| OR | 023154 | 05 |
| Street Address |
1508 DIVISION ST SUITE 115 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259650 | Murray Douglas Joe | Specialist | 1508 Division St, Ste. 115, Oregon City, OR 97045-1582 | 2005-07-19 |
| 1558801472 | Caroline O'dell | Registered Nurse | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2017-02-24 |
| 1922558055 | Gso Equipment Corp | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2016-10-13 |
| 1528517463 | Keira Rakoff | Counselor | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2016-10-03 |
| 1811305220 | Erica Coppola | Registered Nurse | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2014-07-29 |
| 1285064766 | Willamette Falls Audiology, Inc | Audiologist | 1508 Division St, 115, Oregon City, OR 97045-1582 | 2013-11-19 |
| 1154754208 | Anna Marian Tubman | Family Medicine | 1508 Division St, Suite 25, Plaza 2, Oregon City, OR 97045-1582 | 2013-08-13 |
| 1881937480 | Kristin Sentman Bendert | Family Medicine | 1508 Division St, Oregon City, OR 97045-1582 | 2013-04-02 |
| 1528302015 | Asuka Murata | Physician Assistant | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2012-11-21 |
| 1164727764 | Sophia May Lichenstein-hill | Nurse Practitioner | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2011-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1275718157 | Kelly W Rydlund, Md, LLC | Otolaryngology | 1508 Division St, Suite 115, Oregon City, OR 97045-1582 | 2008-01-09 |
| 1952586877 | Daniel A Leedy, Md, PC | Otolaryngology | 1508 Division St, Suite 115, Oregon City, OR 97045-1582 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| 1609062249 | Kenneth Albert Springate | Otolaryngology | 2095 Broadview St, Eugene, OR 97405-1375 | 2007-09-18 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.