Kelli Lynn Thomsen, LE

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

COS-FT-935744 Issued in OR

Practice address

917 NW Overton St
Portland, OR 97209-3197

Phone

(503) 890-5355

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1235970559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SW MULTNOMAH BLVD APT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193589",
            "telephone_number": "503-890-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 NW OVERTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093197",
            "telephone_number": "503-890-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": "COS-FT-935744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willina Thompson
• Zey Michael Thompson, RPH
• Trisha A Thoms, MPAS, PA-C
• Elizabeth Thomsen
• Jared John Thomsen, MD
• Skipp Thomsen, CF-SLP
• Holly Michelle Thomson, MD
• Jacqueline Thomson
• Katelyn Thomson, RDH, BSDH
• Ruth Marie Thomson, D.O.

• Health & Wellness Coach in Portland, OR
• Providers in Portland, OR by specialty
• Health & Wellness Coach in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.