Kelly, Janice J

Kelly, Janice J is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave, Ste 640 , Portland OR 97210-2993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kelly, Janice J can be contacted via phone (503) 229-7976.

Contact Information

Primary practice address
1130 Nw 22Nd Ave, Ste 640 Portland OR 97210-2993
Phone: (503) 229-7976
Fax: (503) 274-4867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-3153 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30002264 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000032737N3 Oregon

Profile Details

NPI number 1578531646
LBN Legal business name Kelly, Janice J
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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