Individual
DR. WILLIAM M KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L461, PORTLAND, OR 97239-3011
(541) 915-6007
Mailing address
3125 SW BENNINGTON DR, PORTLAND, OR 97205-5832
(541) 915-6007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD26828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240216
—
OR
Enumeration date
05/24/2006
Last updated
09/08/2016
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