Peggy E Kelley
Pediatric Otolaryngology
9427 Sw Barnes Rd Ste 395
Portland
, Oregon 97225-6652
Peggy E Kelley
Pediatric Otolaryngology
9427 Sw Barnes Rd Ste 395
Portland
, Oregon 97225-6652
(503) 215-6494
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Peggy E Kelley
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Phone : (503) 215-6494
Second Address
- Peggy E Kelley
- 9427 Sw Barnes Rd Ste 395
- Portland, OR
- Zip : 97225-6652
- Phone : (503) 216-6050
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YP0228X | Pediatric Otolaryngology | 37368 | CO |
| Y | 207YP0228X | Pediatric Otolaryngology | MD196930 | OR |
National Provider Identifier
| NPI | 1689777476 |
|---|---|
| Provider Name | Peggy E Kelley |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97225-6652 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2006 |
| Last Update Date | 18/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01373687 | (05) | CO |
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.