- Practice location
- 4855 SW Western Ave, Beaverton, OR 97005-3460
- Phone
- 503-350-2408
- Fax
- 503-350-2438
- Last updated
- May 20, 2025
Kelly Dawn Block is an Internal Medicine based in Beaverton, OR. Kelly Dawn Block practices in Beaverton, OR and has the professional credentials of MD. The NPI Number for Kelly Dawn Block is 1396831913 and holds a License No. MD20692 (OR). The current practice location address for Kelly Dawn Block is 4855 SW Western Ave, Beaverton, OR 97005-3460 and can be reached out via phone at 503-350-2408 and via fax at 503-350-2438.
Provider Profile Details
- NPI Number
- 1396831913
- Provider Name
- Kelly Dawn Block
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4855 SW Western Ave, Beaverton, OR 97005-3460
- Phone Number
- 503-350-2408
- Fax Number
- 503-350-2438
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2006
- Last Update Date
- May 20, 2025
- Certification Date
- May 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4855 SW Western Ave
Beaverton, OR 97005-3460 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-3460
- Phone Number
- 503-350-2408
- Fax Number
- 503-350-2438
Provider Business Mailing Address Details
- Address
- 4855 SW Western Ave
Beaverton, OR 97005-3460 - City
- Beaverton
- State
- OR
- Zip
- 97005-3460
- Phone Number
- 503-350-2408
- Fax Number
- 503-350-2438
License Information
- License Number
- MD20692
- License State
- OR
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kelly D Block, MD?
The NPI number of Dr. Kelly D Block, MD is 1396831913. It was assigned on October 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Kelly D Block, MD?
Dr. Kelly D Block, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OR under license number MD20692.
Where does Dr. Kelly D Block, MD practice?
The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3460. The office can be reached at 503-350-2408 (phone) or 503-350-2438 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396831913 directly on the NPPES registry website.