Individual provider · Type 1 NPI

Kellie Elizabeth Wilcox, ARNP

Family Nurse Practitioner · Oregon City, OR

NPI number 1104481175 Active

Practice location

110 Beavercreek Rd
Oregon City, OR 97045-4307

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201391227RN (OR)
Nurse Practitioner 363L00000X202210366NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000XAP61198829 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104481175

Kellie Elizabeth Wilcox, ARNP's National Provider Identifier is 1104481175, issued on May 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oregon City, OR. The record was last updated on Sep 16, 2026.