Kelly L O'Hanley, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD11925 Issued in OR

Practice address

2705 E Burnside St
Suite 114
Portland, OR 97214-1763

Phone

(503) 215-6262

Fax

(503) 234-5437

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly L Kendrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497816003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST",
            "address_2": "SUITE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141763",
            "telephone_number": "503-215-6262",
            "fax_number": "503-234-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLEY",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD11925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KENDRICK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen M O'Farrell, LCSW
• Avital Yehudit O'Glasser, M.D.
• Shaelyn Nicole O'Gorman
• Christina Marie O'Guinn, FNP
• Sagina O'Halloran, O.D.
• Peter D O'Hanley, MD
• Katie O'Hanlon, DNP, CNM
• Patti Marie O'Hanlon, MSW
• Bonnie Helen O'Hara, CRNA
• Michael Andrew O'Hara, M.D.

• Obstetrics & Gynecology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.