Individual provider · Type 1 NPI

Lori H. Kelly, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1689670226 Active

Practice location

3303 SW Bond Ave
Portland, OR 97239-4501

Call (503) 494-4373 Map

Mailing address

3181 SW Sam Jackson Park Rd, Gh 219
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00942 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1689670226

Lori H. Kelly, PA-C's National Provider Identifier is 1689670226, issued on Jun 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Aug 23, 2010.