Laurel Lenee Kelley, MD
Psychiatry & Neurology, Neurology in Portland, OR. Individual provider (NPI-1).
NPI number1982167102
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1982167102
- Entity type
- Individual (NPI-1)
- Name
- Laurel Lenee Kelley
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2019
- Certification date
- Jul 5, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MD219394 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Laurel Lenee Schuler (Former Name)
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7772
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7772
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