Wells, Kelly Irene

Wells, Kelly Irene is an individual health care provider with primary practice located at 11000 Sw Stratus St Ste 310 , Beaverton OR 97008-7144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wells, Kelly Irene can be contacted via phone (503) 297-3778.

Contact Information

Primary practice address
11000 Sw Stratus St Ste 310 Beaverton OR 97008-7144
Phone: (503) 297-3778
Fax: (503) 297-7853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201604735NP-PP Oregon

Profile Details

NPI number 1336591197
LBN Legal business name Wells, Kelly Irene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated May 15th, 2026 - about 6 months 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 1336591197 NPPES
Oregon MEDICAID 500711227
Oregon MEDICAID 2142278

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