person
Kelly Mahara Bartholomew, PA-C
Surgical Physician Assistant in Portland, Oregon
NPI 1255328290

Kelly Mahara Bartholomew is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Kelly Mahara Bartholomew practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Kelly Mahara Bartholomew is 1255328290 and holds a License No. (Oregon).

The current practice location address for Kelly Mahara Bartholomew is 2226 Nw Pettygrove, Portland, OR and can be reached out via phone at 503-223-6223 and via fax at 503-223-3665. You can also correspond with Kelly Mahara Bartholomew through the mailing address at 2230 NW PETTYGROVE, PORTLAND, OR - 97210 (mailing address contact number: 503-223-6223).

Location: 2226 Nw Pettygrove, Portland, OR, 97210
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Provider Profile Details
NPI Number
1255328290
Provider Name
Kelly Mahara Bartholomew
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2226 Nw Pettygrove, Portland, OR, 97210
Phone Number
503-223-6223
Fax Number
503-223-3665
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA00693 05 OR
institution
Provider Business Practice Location Address Details
Address
2226 Nw Pettygrove
City
State
Zip
97210
Phone Number
503-223-6223
Fax Number
503-223-3665
person
Provider Business Mailing Address Details
Address
2226 Nw Pettygrove
City
State
Zip
97210
Phone Number
503-223-6223
Fax Number
503-223-3665
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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