LORI H KELLY (NPI# 1689670226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689670226 |
| Entity Type | Individual |
| Full Name | LORI H KELLY |
| Credential | PA-C |
| Practice Address |
3303 Sw Bond Ave Portland OR 97239-4501 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Gh 219 Portland OR 97239-3011 |
| Practice Telephone | 5034944373 |
| Mailing Telephone | 5034941484 |
| Mailing Fax Number | 5034941409 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00942 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500602706 | 05 | |
| WA | 8502619 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801301056 | Lori Salins Kelly | Counselor | 2120 Washington Blvd Fl 4, Arlington, VA 22204-5718 | 2017-12-11 |
| 1013383223 | Lori Kelly | Nurse Practitioner | 439 Hinsdale Rd, Camillus, NY 13031-1648 | 2015-08-12 |
| 1235313966 | Lori Ann Kelly | Registered Nurse | 31 Falcon Dr, Hauppauge, NY 11788-1204 | 2007-12-17 |
| 1235167503 | Lori L Kelly | Nurse Practitioner | 2845 Hamline Ave North, Roseville, MN 55113 | 2006-06-28 |
| 1871956144 | Lori Kelly | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2016-04-03 |
| 1710077953 | Lori S Kelly | Occupational Therapist | 4095 Cleveland Massillon Rd, Norton, OH 44203-5670 | 2006-10-16 |
| 1578651816 | Lori J Kelly | Physical Therapist | 1103 Trancas Street, Napa Valley Physical Therapy Center, Napa, CA 94558 | 2006-10-11 |
| 1265544472 | Lori H Kelly | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2006-09-01 |
| Street Address |
3303 SW BOND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174287 | Dawn F. Tilgner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-19 |
| 1376164582 | Marisa Palandri | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-28 |
| 1194345629 | Margaret Alva Mcreynolds | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-24 |
| 1104446392 | Jennifer Crawford | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1093335275 | Mehak Noorani | Speech-Language Pathologist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1497374185 | Ruth Semon | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-13 |
| 1649899675 | Kristin Moore | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-09 |
| 1821627266 | Mollie Ann Suits | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-07 |
| 1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| 1508495037 | Chante Noel Larlee | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1871982975 | Colin Storz | Physician Assistant | 3623 N Borthwick Ave, Portland, OR 97227-1218 | 2015-01-13 |
| 1275888729 | Stephanie Calvin | Physician Assistant | 782 College St, Portland, TN 37148-2120 | 2012-07-20 |
| 1174800031 | Carolyn Frances Farrell | Physician Assistant | 450 N Graham St, Portland, OR 97227-1682 | 2011-11-07 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1124210778 | Honey E.l. Marques | Physician Assistant | 16279 Se Division St, Portland, OR 97236-1971 | 2007-08-16 |
| 1124177902 | Dmitriy Shore | Physician Assistant | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-09 |
| Find all providers in PORTLAND | ||||
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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.