Dr. Brendan Patrick Kelly
Pediatrician Pediatric Cardiologist
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Dr. Brendan Patrick Kelly
Pediatrician Pediatric Cardiologist
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 305-6577
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Brendan Patrick Kelly
- 22 Del Prado St
- Lake Oswego, OR
- Zip : 97035-1312
- Fax : (503) 305-6577
- Phone : (503) 305-6577
Second Address
- Dr. Brendan Patrick Kelly
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 418-5793
- Phone : (503) 418-5750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301080000 | MI |
| Y | 2080P0202X | Pediatric Cardiologist | MD29308 | OR |
| N | 2080P0202X | Pediatric Cardiologist | MD60095370 | WA |
National Provider Identifier
| NPI | 1033233192 |
|---|---|
| Provider Name | Dr. Brendan Patrick Kelly |
| First Address | Lake Oswego, OR 97035-1312 |
| Second Address | Portland, OR 97239-3011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2007 |
| Last Update Date | 16/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.