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TIMOTHY KELLY
NPI 1518590629
Peer Specialist in Portland, OR

Active since February 17, 2020
14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Timothy Kelly NPPES

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

TIMOTHY KELLY (NPI 1518590629) is an individual peer specialist in Portland, Oregon and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1518590629
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTIMOTHY KELLY
Location Address14600 NW CORNELL RDPortland, OR 97229-5442
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581
Phone(503) 645-3581
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
✔ NPI 1518590629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
14600 NW CORNELL RD, Portland, OR 97229
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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.

MS. LUCRECIA FARIAS
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. SANDRA GAIL BUMPUS MSW
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-2545
MEGAN MARSHALL MA, LPCI
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. DEBORAH CHRISTINE CASE
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
ABRAHAN VEGA QMHP
Counselor
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
RADIANCE ANN SCHROETER
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JAMES GURULE LPC
Counselor (Professional)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JENNIFER LYNN KELLY MA
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1518590629. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Timothy Kelly located?

Timothy Kelly practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.