Kiely, Maria Ximena Traa

Kiely, Maria Ximena Traa is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N60 , Portland OR 97213. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Kiely, Maria Ximena Traa can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N60 Portland OR 97213
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 248886 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD188947 Oregon

Profile Details

NPI number 1760776041
LBN Legal business name Kiely, Maria Ximena Traa
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2011
Last updated Dec 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1760776041 NPPES
Oregon MEDICAID 500729766

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