Individual
DR. KELLY MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
(503) 413-8498
Mailing address
85 E CONCORD ST FL 8, DEPT OF OPHTHALMOLOGY, BOSTON, MA 02118-2335
(617) 414-4020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD171281
OR
Other
Enumeration date
06/20/2011
Last updated
05/08/2015
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