IndividualActive
Brendan Kelly, MD
NPI 1033233192 · Pediatric Cardiology Physician · Portland, OR
Provider details
- NPI number
- 1033233192
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301080000 (MI)
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-5750
Fax: (503) 418-5793
Mailing address
500 Ne Multnomah St Ste 100
Portland, OR 97232-2031
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.