DR. KELLY ANN PORTNOFF (NPI# 1255422481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255422481 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANN PORTNOFF |
| Credential | M.D. |
| Practice Address |
800 Sw 13th Ave Portland OR 97205-1902 |
| Practice Telephone | 5032210161 |
| Practice Fax Number | 5032741697 |
| Mailing Telephone | 5032210161 |
| Mailing Fax Number | 5032741697 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A067472 | CA | Other Service Providers |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD153938 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
800 SW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235129891 | Cristina Fe G Mondragon | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2005-10-25 |
| 1407407489 | Chandni Patel | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2019-09-22 |
| 1588148381 | Chelsea Saettone | Social Worker | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-09-18 |
| 1952888281 | Amanda Welter | Physical Therapist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2018-07-19 |
| 1265936058 | Alexander Bulochnik Shteynberg | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-03-19 |
| 1851825640 | Pooja Naik | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2017-04-18 |
| 1376906669 | Thomas Dudrey | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2016-04-04 |
| 1497125884 | Stephanie Nicole D'andrea | Nurse Practitioner | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2015-09-29 |
| 1255745097 | Laura Chan | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2014-06-19 |
| 1407199094 | Yasuyo Diana Umene | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528295557 | Ajay Wanchu | Internal Medicine | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2009-06-17 |
| 1023229812 | Sarah Jan Lipton | Internal Medicine | 5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956 | 2007-05-24 |
| 1215035449 | Mollie E Thompson | Internal Medicine | 9155 Sw Barnes Rd Ste 314, Portland, OR 97225-6630 | 2006-09-20 |
| 1144295148 | Richard M Wernick | Internal Medicine | 5050 Ne Hoyt Street, Suite 155, Portland, OR 97213-2956 | 2006-02-22 |
| 1295732261 | Kip L Kemple | Internal Medicine | 2230 Nw Pettygrove, #120, Portland, OR 97210 | 2005-07-05 |
| 1316940075 | John W. Griffin | Internal Medicine | 10101 Se Main St, Ste 2001, Portland, OR 97216-2457 | 2005-05-24 |
| 1902200462 | Theodore Alexander Tsoukas | Internal Medicine | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2014-10-13 |
| 1255607545 | Marcia Alwina Friedman | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-30 |
| 1194014530 | Julianna Desmarais | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Mail Code Op09, Portland, OR 97239-3011 | 2011-04-06 |
| 1679862759 | Neha Rich-garg | Internal Medicine | 9155 Sw Barnes Rd, #314, Portland, OR 97225-6625 | 2011-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.