Organization · Type 2 NPI

Kelly Raylinsky

Primary Care Clinic/Center · Portland, OR

NPI number 1639507965 Active

Practice location

511 SW 10th Ave Ste 801
Portland, OR 97205-2709

Call (503) 230-8973 Map

Fax (503) 230-8978

Mailing address

2604 E Burnside St
Portland, OR 97214-1756

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X1895 (OR)

Primary Care Clinic/Center: Definition to come...

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About NPI 1639507965

Kelly Raylinsky's National Provider Identifier is 1639507965, issued on Oct 23, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Oct 23, 2013.