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RANDALL KELLY, MHS, DMSC, PA-C

MHS, DMSC, PA-C

Physician Assistant

NPI: 1922393974IndividualAccepts Medicare

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

184529(OR)
Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

PA184529(OR)
Addiction Medicine (Preventive Medicine) Physician

Preventive Medicine — Addiction Medicine

Code: 2083A0300X

PA184529(OR)PA60205772(WA)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA60205772(WA)PA184529(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2010

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Contact & Hours

Via practice · 12 locations total

Address
2900 NW Clearwater Dr
Bend, OR 97703

Locations (12)

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

1901 Garden Ave Ste 210, Eugene, 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

1110 SE Alder St Ste 301, Portland, OR
(541) 303-3558

Practice Location

1817 NE 6th Ave, 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
12
Years in Practice
16

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