Individual
KELLY KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4200
(503) 494-4473
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4200
(503) 494-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
161929
MT
207V00000X
Obstetrics & Gynecology Physician
MD60841044
WA
207VM0101X
Maternal & Fetal Medicine Physician
MD170729
OR
207VM0101X
Maternal & Fetal Medicine Physician
MD60841044
WA
207VX0000X
Obstetrics Physician
MD170729
OR
Other
Enumeration date
05/08/2010
Last updated
09/25/2025
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