KELLY MCMULLEN LMT
NPI 1558892471
Prevention Professional in Portland, OR

Q: What is Kelly Mcmullen's NPI number?

The NPI number for Kelly Mcmullen is 1558892471. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Kelly Mcmullen's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcmullen was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 22, 2017

819 SE MORRISON ST, SUITE 140, PORTLAND, OR 97214(702) 480-6028 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Mcmullen Lmt NPPES

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

KELLY MCMULLEN LMT (NPI 1558892471) is an individual prevention professional provider in Portland, Oregon, licensed in Oregon (20211) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1558892471

Entity TypeIndividualFemale

Primary Taxonomy405300000X

Provider Legal NameKELLY MCMULLENCredential: LMT

Location Address819 SE MORRISON ST, SUITE 140Portland, OR 97214-6307

Mailing Address819 Se Morrison St, Suite 140Portland, OR 97214-6307 · (702) 480-6028

Phone(702) 480-6028

Sole ProprietorYes

Enumeration DateMarch 22, 2017

✔ NPI 1558892471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in OR · 20211

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

819 SE MORRISON ST, Portland, OR 97214

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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 ›

Other Providers at the Same Location NPPES 16

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

ELIZABETH BOURGEOIS LAC

Acupuncturist

819 SE MORRISON ST, SUITE 140
PORTLAND, OR 97214

Multnomah County (503) 610-3433

BODY TREAT LLC

Massage Therapist

819 SE MORRISON ST
PORTLAND, OR 97214

Multnomah County (503) 753-1141

DR. HANS CHRISTIAN ANDERSEN CHIROPRACTOR

Chiropractor (Neurology)

819 SE MORRISON ST, SUITE 245
PORTLAND, OR 97214

Multnomah County (503) 234-6631

EMERALD FAMILY MEDICINE LLC

Clinic/Center

819 SE MORRISON ST, STE 115
PORTLAND, OR 97214

Multnomah County (503) 956-9396

LUCINDA MACKAY AGRE LMT

Massage Therapist

819 SE MORRISON ST, #340
PORTLAND, OR 97214

Multnomah County (503) 475-0953

AMANDA BARP LMT

Mechanotherapist

819 SE MORRISON ST, SUITE 240
PORTLAND, OR 97214

Multnomah County (503) 473-9142

MISS JUDITH MARIE SIMONSEN LAC, PT

Physical Therapist

819 SE MORRISON ST, SUITE 120
PORTLAND, OR 97214

Multnomah County (503) 806-6184

MICHAEL MOTTMANN

Chiropractor

819 SE MORRISON ST
PORTLAND, OR 97214

Multnomah County (503) 956-9396

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 Mcmullen's NPI number?

The NPI number for Kelly Mcmullen is 1558892471. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Kelly Mcmullen located?

Kelly Mcmullen practices at 819 SE Morrison St Suite 140, Portland, OR 97214. The listed phone number is (702) 480-6028.

What is Kelly Mcmullen's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

What insurance does Kelly Mcmullen accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kelly Mcmullen 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 Mcmullen was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.