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KELLY MAHARA BARTHOLOMEW PA-C
NPI 1255328290
Physician Assistant - Surgical in Portland, OR

Active since October 04, 2005
2226 NW PETTYGROVE, PORTLAND, OR 97210(503) 223-6223(503) 223-3665 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Mahara Bartholomew Pa-c NPPES

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

KELLY MAHARA BARTHOLOMEW PA-C (NPI 1255328290) is an individual surgical provider in Portland, Oregon and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1255328290
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY MAHARA BARTHOLOMEWCredential: PA-C
Location Address2226 NW PETTYGROVEPortland, OR 97210
Mailing Address2230 Nw Pettygrove, #210Portland, OR 97210 · (503) 223-6223 · Fax (503) 223-3665
Phone(503) 223-6223
Fax(503) 223-3665
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateMay 1, 2015
✔ NPI 1255328290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2226 NW PETTYGROVE, Portland, OR 97210
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Other Names 1

Former Name (1)Kelly Mahara Charles

Other Identifiers 2

MedicaidPA00693OR
Medicare PIN107974OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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 Bartholomew's NPI number?

The NPI number for Kelly Bartholomew is 1255328290. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Kelly Bartholomew located?

Kelly Bartholomew practices at 2226 NW Pettygrove, Portland, OR 97210. The listed phone number is (503) 223-6223.

What is Kelly Bartholomew's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Kelly Bartholomew accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Bartholomew 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 Bartholomew was last updated on May 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.