Erin K Kelley, HTL

Primary specialty

Histology TechnicianTaxonomy code 246RH0600X

License

25823370 Issued in VA

Practice address

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Phone

(503) 220-8262

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1518685288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LAZY AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041711",
            "telephone_number": "253-970-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ERIN",
        "middle_name": "K",
        "credential": "HTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "VA",
            "license": "25823370",
            "primary": false
        },
        {
            "code": "246RH0600X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Histology",
            "state": "VA",
            "license": "25823370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Kelley
• Bonnie Kelley
• Brendan John Bach Kelley, MD
• Chawannut Kelley, RDH
• Dannah Kelley
• Eugene Owen Kelley, DMD
• Jack Douglas Kelley, L.P.C.
• John Paul Kelley, QMHA
• Jolene Renee Kelley, LMT
• Kathryn Kelley

• Pathology Technician in Portland, OR
• Providers in Portland, OR by specialty
• Pathology Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.