KELLY KRAUSE (NPI# 1639642051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642051 |
| Entity Type | Individual |
| Full Name | KELLY KRAUSE |
| Credential | PA-S |
| Practice Address |
500 Ne Multnomah St Portland OR 97232-2023 |
| Mailing Address |
2005 Hird Ave Apt 7 Caldwell ID 83605-2059 |
| Practice Telephone | 5038132619 |
| Mailing Telephone | 3076902929 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAT-1634 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801344528 | Kelly Krause | Social Worker | 4734 Eaves Ln, Charlotte, NC 28215-4036 | 2016-09-12 |
| 1629268024 | Kelly Krause | Occupational Therapist | 1834 Kongens Gade, St Thomas, VI 00802-6746 | 2007-07-31 |
| 1487063897 | Kelly M Krause | Physician Assistant | 403 Morrow St N, Suite D, Mena, AR 71953-4324 | 2014-08-11 |
| Street Address |
500 NE MULTNOMAH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642047 | Laura L Wozniak | Social Worker | 500 Ne Multnomah St, Suite 100, Portland, OR 97232-2023 | 2005-10-07 |
| 1396304820 | Chad Smith | Student in an Organized Health Care Education/Training Program | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2019-06-09 |
| 1033699327 | Morgan Black | Student in an Organized Health Care Education/Training Program | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2018-08-16 |
| 1356880454 | Kaiser Foundation Health Plan of The Northwest | General Practice | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2017-02-22 |
| 1932641701 | Marie Johnson | Dietitian, Registered | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-11-10 |
| 1972054047 | Kaiser Foundation Health Plan of The Northwest | Counselor | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-10-24 |
| 1386195931 | Kaiser Foundation Health Plan of The Nw | General Practice | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-10-19 |
| 1649721291 | Kaiser Foundation Health Plan of The Northwest | Counselor | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-10-19 |
| 1730630385 | Kaiser Foundation Health Plan of The Nw | Family Medicine | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-10-19 |
| 1699133694 | Kaiser Foundation Health Plan of The Northwest | Eyewear Supplier (Equipment, not the service) | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| Find all providers in PORTLAND | ||||
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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.