Kelly K Oh (NPI# 1366480105, PAC ID# 7012933856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1366480105 |
| PAC ID by PECOS | 7012933856 |
| Professional Enrollment ID | I20060222000522 |
| Full Name | Kelly K Oh |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Address |
5555 Ne Elam Young Pkwy Hillsboro OR 97124-6452 |
| Phone Number | 5032161600 |
| Gender | F |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 990 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380021 | TUALITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 5032161600 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 | 5032161600 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karina M Squire | Nurse Practitioner | Providence Health and Services - Oregon | 171 S Hwy 101, Warrenton, OR 97146-9314 |
| Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
| Shelley A Denison | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Allan R Alexander | Family Practice | Providence Health and Services - Oregon | 2100 Ne 139th St, Vancouver, WA 98686-2300 |
| Deborah S Dorst | Nurse Practitioner | Providence Health and Services - Oregon | 6410 Ne Halsey St, Portland, OR 97213-4759 |
| Sharon F Lissman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Shoshawna Rainwater | Clinical Social Worker | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Elke P Lowenkopf | Hospice/palliative Care | Providence Health and Services - Oregon | 1500 Division St, Rm 1005, Oregon City, OR 97045-1527 |
| Elise Newman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Talya L Freudmann | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Street Address |
5555 NE ELAM YOUNG PKWY |
| City | HILLSBORO |
| State | OR |
| Zip | 97124-6452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leanna B Schultz | Physician Assistant | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Thomas C Rittman | Psychiatry | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Tira E Nesset | Nurse Practitioner | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Clarice C Calopiz | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Rebekah Ratzlaff | Psychologist, Clinical | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Thao T Van | Physician Assistant | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Nicole S Trajano | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Sonel P Patel | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Jordan I Roth | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| William W Cuff | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Y Lee | Physical Therapy | Stride Strong Physical Therapy LLC | 2350 Ne Griffin Oaks St, Suite 100, Hillsboro, OR 97124-2374 |
| Daniel S Wright | Chiropractic | 230 Ne 2nd Ave, Suite 1, Hillsboro, OR 97124-3074 | |
| Kim G Gauntt | Podiatry | K G Gauntt Dpm PC | 200 Ne 4th Ave, Hillsboro, OR 97124-3255 |
| Judith M Kemp | Family Practice | Dr Judith Kemp Md LLC | 6244 Ne Brighton St, Hillsboro, OR 97124-5076 |
| Elizabeth A Conley | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Laura Briana Perry | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Marissa M Loosli | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Nancy Burger Causton | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Kent A Bond | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Hui En Gilpin | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, 107 Impact Physical Therapy Hillsboro, Hillsboro, OR 97124-5114 |
| Find all physicians in zip 97124 | |||
| City | HILLSBORO |
| Zip Code | 97124 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | HILLSBORO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kelly K Oh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.