IndividualActive
Kelsey Richardson
NPI 1477852259 · Pediatric Nephrology Physician · Portland, OR
Provider details
- NPI number
- 1477852259
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- ML60224535 (WA)
Practice location
3181 Sw Sam Jackson Hall Rd
Portland, OR 97239
Phone: (503) 494-4265
Mailing address
3181 Sw Sam Jackson Hall Rd
Portland, OR 97239
Registry dates
- Enumerated
- 2011-03-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.