Kelly, Brian Wilbur

Kelly, Brian Wilbur is an sole proprietor health care provider with primary practice located at 545 Se Oak St Suite F, Hillsboro OR 97123-4147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kelly, Brian Wilbur can be contacted via phone (503) 640-5950.

Contact Information

Primary practice address
545 Se Oak St Suite F Hillsboro OR 97123-4147
Phone: (503) 640-5950
Fax: (503) 648-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10756 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD10756 Oregon

Profile Details

NPI number 1801990478
LBN Legal business name Kelly, Brian Wilbur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Jan 14th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801990478 NPPES
Oregon MEDICAID 227538
Oregon Other C9123100001
Oregon Other DG4207
Oregon Other 003293001

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