Kelsey Oleson Harris, PA

Individual provider Active NPI Physician Assistant · Beaverton, OR

NPI 1063069987 · NPPES record last updated Nov 4, 2025

Key facts

NPI
1063069987
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA194335 (OR)
Practice address
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone
(503) 531-3434
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA194335ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Woodburn Pediatric Clinic LLP Past
since Sep 1, 2019
Accepting new patients
Woodburn Pediatric Clinic Past
since Sep 1, 2019
Accepting new patients
Metropolitan Pediatrics, LLC Past
since Jan 26, 2025
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kharris1514853@direct.lhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelsey.harris.p29@direct.wvp.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA194335 OR Yes

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357

Mailing address

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone (503) 531-3434

Other names

  • Kelsey Sheree Oleson Former name

Other providers in Beaverton, OR

All providers in Beaverton, OR · Physician Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.