IndividualActive
Marissa Kellogg, MD, MPH
NPI 1063642973 · Neurology Physician · Portland, OR
Provider details
- NPI number
- 1063642973
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- No
- License
- MD161937 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3181 Sw Sam Jackson Park Rd
Department of Neurology, Cr120
Portland, OR 97239-3011
Phone: (503) 494-5682
Fax: (503) 494-6658
Street-level locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2017-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.