Individual provider · Type 1 NPI

Thalia Yesmin Padilla Kelley, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1265285175 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

2231 SE Belmont St
Portland, OR 97214-2816

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265285175

Thalia Yesmin Padilla Kelley, MD's National Provider Identifier is 1265285175, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 27, 2024.