Dr. Kellyn Nacke Bellsmith, M.D.
Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1801242573
StatusActive
Last updated in NPPESMar 31, 2023
Details
- NPI
- 1801242573
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kellyn Nacke Bellsmith
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2016
- Certification date
- Mar 31, 2023
- Last updated
- Mar 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0110X | Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | MD198586 | OR | Yes |
| 207W00000X | Ophthalmology | MD198586 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-3000 · Fax 503-494-4286
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-3000 · Fax 503-494-4286
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