OrganizationActive
Kelly Clayton Fnp Inc
NPI 1104089309 · Primary Care Clinic/Center · Shady Cove, OR
Provider details
- NPI number
- 1104089309
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Clayton, President(541) 878-3537
- License
- 200150078NP (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
387 Pinetop Terrace
Shady Cove, OR 97539
Phone: (541) 878-3537
Street-level locationGet directions
Mailing address
Po Box 1
Shady Cove, OR 97539-0001
Other names (DBA / former)
- Doing business as
- Health Care By House Call
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2008-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.