Individual provider · Type 1 NPI

Kelly Mahara Bartholomew, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1255328290 Active

Practice location

2226 NW Pettygrove
Portland, OR 97210

Call (503) 223-6223 Map

Fax (503) 223-3665

Mailing address

2230 NW Pettygrove, #210
Portland, OR 97210

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1255328290

Kelly Mahara Bartholomew, PA-C's National Provider Identifier is 1255328290, issued on Oct 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on May 1, 2015.