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KELLY JO WASHAM MA, CADC II
NPI 1326368333
Counselor - Mental Health in Tualatin, OR

Active since June 02, 2010PECOS Enrolled
8280 SW SHENANDOAH WAY, TUALATIN, OR 97062(503) 363-2021 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Jo Washam Ma, Cadc Ii NPPES

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

KELLY JO WASHAM MA, CADC II (NPI 1326368333) is an individual mental health provider in Tualatin, Oregon, licensed in Oregon (T3092) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1326368333
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JO WASHAMCredential: MA, CADC II
Location Address8280 SW SHENANDOAH WAYTualatin, OR 97062-9301
Mailing Address8280 Sw Shenandoah WayTualatin, OR 97062-9301
Phone(503) 363-2021
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 2, 2010
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1326368333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · T3092
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
8280 SW SHENANDOAH WAY, Tualatin, OR 97062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Washam Ma, Cadc Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062907058
PECOS Enrollment IDI20251217004047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Washam's NPI number?

The NPI number for Kelly Washam is 1326368333. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Kelly Washam located?

Kelly Washam practices at 8280 SW Shenandoah Way, Tualatin, OR 97062. The listed phone number is (503) 363-2021.

What is Kelly Washam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Washam enrolled in Medicare?

Yes. Kelly Washam is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Washam accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kelly Washam 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 Washam was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.