1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Psychiatry Neurology
  6. NPI Profile

KELLEY S. FELLMAN MD
NPI 1568484103
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since July 24, 2006
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley S. Fellman Md NPPES

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

KELLEY S. FELLMAN MD (NPI 1568484103) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (MD25861) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1568484103
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKELLEY S. FELLMANCredential: MD
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address6115 Ne 30th AvePortland, OR 97211-6735
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 26, 2009
✔ NPI 1568484103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OR · MD25861
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3415 SE POWELL BLVD, Portland, OR 97202
Open in Google Maps ↗

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.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

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 Kelley Fellman's NPI number?

The NPI number for Kelley Fellman is 1568484103. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Kelley Fellman located?

Kelley Fellman practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Kelley Fellman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Kelley Fellman was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.