Individual
MRS. HEIDI JO KELBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164192
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726635
—
OR
Enumeration date
09/29/2008
Last updated
01/29/2026
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