Organization Active NPI

Kelly Raylinsky

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1639507965
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1895 Issued in OR
Legal business name
KELLY RAYLINSKY
Practice address
511 SW 10TH Ave Ste 801
Portland, OR 97205-2709
Phone
(503) 230-8973
Fax
(503) 230-8978
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Kelly Lynn Raylinsky, ND
Title
Naturopathic Docotr
Phone
(603) 205-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1895 OR Primary

Addresses

Primary practice location

511 SW 10TH Ave Ste 801
Portland, OR 97205-2709

Mailing address

2604 E Burnside St
Portland, OR 97214-1756
Phone (603) 205-2311

Other names 1

  • Kelly Raylinsky Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1639507965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141756",
            "telephone_number": "603-205-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 801",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052709",
            "telephone_number": "503-230-8973",
            "fax_number": "503-230-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY RAYLINSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "RAYLINSKY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NATUROPATHIC DOCOTR",
        "authorized_official_telephone_number": "603-205-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Raylinsky",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.