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RANDALL KELLY, MHS, DMSC, PA-C
MHS, DMSC, PA-C
Physician Assistant
NPI: 1922393974IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA184529(OR)PA60205772(WA)
Addiction Medicine (Preventive Medicine) Physician
Preventive Medicine — Addiction Medicine
Code: 2083A0300X
PA60205772(WA)PA184529(OR)
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA184529(OR)
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
184529(OR)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2010
Contact & Hours
Via practice · 11 locations total
- Address
- 2900 NW Clearwater Dr
Bend, OR 97703 - Phone
- (541) 303-3558
Locations (11)
Practice Location
2900 NW Clearwater Dr, Bend, OR
(541) 303-3558
Practice Location
520 NW 4th St, Corvallis, OR
(541) 303-3558
Practice Location
761 Main St, Dallas, OR
(541) 303-3558
Practice Location
71 Centennial Loop Ste A, Eugene, OR
(541) 303-3558
Practice Location
256 E HURLBURT AVE STE 117, HERMISTON, OR
(541) 303-3558
Practice Location
124 W Kennewick Ave Ste 11, Kennewick, WA
(541) 303-3558
Practice Location
1345 NW 15th St, Lincoln City, OR
(541) 303-3558
Practice Location
1817 NE 6th Ave, Portland, OR
(541) 303-3558
Practice Location
1110 SE Alder St Ste 301, Portland, OR
(541) 303-3558
Practice Location
4909 S Coast Hwy Ste 1K, South Beach, OR
(541) 303-3558
Practice Location
278 E High St Ste 209, Stayton, OR
(541) 303-3558
Quick Facts
- NPI
- 1922393974
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 6
- Locations
- 11
- Years in Practice
- 16
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