KELLY ANGELA OVERDORF - NPI 1053907444 - Case Manager/Care Coordinator in Bend, OR

Q: What is Kelly Overdorf's NPI number?

The NPI number for Kelly Overdorf is 1053907444. It was assigned to this individual provider in the NPPES registry on December 18, 2020. The provider is also known as Kelly Angela Harrild.

Q: What is Kelly Overdorf's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Overdorf was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Angela Overdorf NPPES

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

KELLY ANGELA OVERDORF (NPI 1053907444) is an individual case manager/care coordinator provider in Bend, Oregon, licensed in Oregon (L1234) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1053907444

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY ANGELA OVERDORF

Location Address1340 NW WALL STBend, OR 97703-1985

Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateDecember 18, 2020

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1053907444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OR · L1234

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1340 NW WALL ST, Bend, OR 97703

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Other Names 1

Former Name (1)Kelly Angela Harrild

Other Providers at the Same Location NPPES 20

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

MRS. HEATHER KRISTINE WELKER O.T.

Occupational Therapist