Individual provider · Type 1 NPI

Brendan John Bach Kelley, MD

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

NPI number 1447947320 Active

Practice location

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

Call (503) 494-8211 Map

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 1447947320

Brendan John Bach Kelley, MD's National Provider Identifier is 1447947320, issued on Apr 20, 2023. 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 Apr 20, 2023.