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Lori H Kelly, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1689670226

Lori H Kelly is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Lori H Kelly practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Lori H Kelly is 1689670226 and holds a License No. PA00942 (Oregon).

The current practice location address for Lori H Kelly is 3303 Sw Bond Ave, Portland, OR and can be reached out via phone at 503-494-4373. You can also correspond with Lori H Kelly through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-1484).

Location: 3303 Sw Bond Ave, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1689670226
Provider Name
Lori H Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3303 Sw Bond Ave, Portland, OR, 97239-3011
Phone Number
503-494-4373
Fax Number
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500602706 05 OR
8502619 05 WA
institution
Provider Business Practice Location Address Details
Address
3303 Sw Bond Ave
City
State
Zip
97239-4501
Phone Number
503-494-4373
Fax Number
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Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-1484
Fax Number
503-494-1409
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00942 (Oregon)
Definition
Definition to come...
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