Individual provider · Type 1 NPI

Kelly D. George, MD

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

NPI number 1265728117 Active

Practice location

5050 NE Hoyt St, Suite 540
Portland, OR 97213-2991

Call (503) 215-6600 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

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 1265728117

Kelly D. George, MD's National Provider Identifier is 1265728117, issued on Jun 20, 2011. 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 Feb 4, 2022.