Kelly W Rydlund, MD, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD25603 Issued in OR

Legal business name

KELLY W RYDLUND, MD, LLC

Practice address

1508 Division St
Suite 115
Oregon City, OR 97045-1582

Phone

(503) 656-0601

Fax

(503) 656-1389

NPI assigned

Jan 9, 2008

Last updated

Jan 9, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

KELLY W RYDLUND, MD, LLCAs reported in NPPES

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

Authorized official

Name

Kelly W Rydlund, MDNPI 1306802269

Title

Associate

Phone

(503) 656-0601

Specialties & licenses 1

Addresses

Part of

Kelly W Rydlund MD LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly William Rydlund, MD

  • Otolaryngology Physician
  • Oregon City, OR
  • NPI 1306802269
  Authorized official Same address or phone

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1275718157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 115",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-656-0601",
            "fax_number": "503-656-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 115",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-656-0601",
            "fax_number": "503-656-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY W RYDLUND, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLY W RYDLUND, MD, LLC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "RYDLUND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "503-656-0601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD25603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leslie Kaufman, LMT
• Gregory Glenn Kautz, MD MPH
• Moibon Kebeba
• Austin Cole Keever, CADC-1
• Brock Kelland
• Jessica Anne Kelso
• Jeffery Kempel, LPC
• Sophie Kendall
• Sarah Kendrick, PHD
• Jillian Kennedy, CSWA

• Otolaryngology Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Otolaryngology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.