KELLY WASHBURN, INC.
NPI 1003560517
Nurse Practitioner - Adult Health in Portland, OR

Active since February 04, 2022
5935 SE BELMONT ST, PORTLAND, OR 97215(541) 638-0261(833) 520-1522 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Washburn, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WASHBURN, INC. (NPI 1003560517) is a healthcare organization registered as an adult health in Portland, Oregon and active in the NPI registry since February 2022. The organization lists Elizabeth Pondolfino, Medical Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003560517
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameKELLY WASHBURN, INC.
Location Address5935 SE BELMONT STPortland, OR 97215-1925
Mailing Address5935 Se Belmont StPortland, OR 97215-1925 · (541) 638-0261 · Fax (833) 520-1522
Fax(833) 520-1522
Organization SubpartNo
Authorized OfficialElizabeth PondolfinoMedical Office Manager · (971) 328-0083
Enumeration DateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
NPI 1003560517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
5935 SE BELMONT ST, Portland, OR 97215

Other Identifiers 1

Medicaid500689145OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5935 SE BELMONT ST
PORTLAND, OR 97215
Naturopath
5935 SE BELMONT ST
PORTLAND, OR 97215
Dentist (General Practice)
5935 SE BELMONT ST
PORTLAND, OR 97215
Social Worker (Clinical)
5935 SE BELMONT ST
PORTLAND, OR 97215
Naturopath
5935 SE BELMONT ST
PORTLAND, OR 97215
Nurse Practitioner
5935 SE BELMONT ST
PORTLAND, OR 97215
Dental Hygienist
5935 SE BELMONT ST
PORTLAND, OR 97215
Physical Therapist
5935 SE BELMONT ST
PORTLAND, OR 97215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Washburn, Inc.'s NPI number?

The NPI number for Kelly Washburn, Inc. is 1003560517. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Kelly Washburn, Inc. located?

Kelly Washburn, Inc. is located at 5935 SE Belmont St, Portland, OR 97215. The listed phone number is (541) 638-0261.

What is Kelly Washburn, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

What insurance does Kelly Washburn, Inc. accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Washburn, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Washburn, Inc. was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.