Individual
GABRIELLE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1616 E BURNSIDE ST, PORTLAND, OR 97214-1453
(971) 271-6066
Mailing address
1616 E BURNSIDE ST, PORTLAND, OR 97214-1453
(503) 746-9458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD217260
OR
Other
Enumeration date
03/18/2019
Last updated
09/25/2025
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