Individual provider · Type 1 NPI

Kelley S. Fellman, MD

Child & Adolescent Psychiatry Physician · Portland, OR

NPI number 1568484103 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Mailing address

6115 NE 30th Ave
Portland, OR 97211-6735

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804XMD25861 (OR)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1568484103

Kelley S. Fellman, MD's National Provider Identifier is 1568484103, issued on Jul 24, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Portland, OR. The record was last updated on Mar 26, 2009.