Individual
DR. KELLY C VRANAS
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 97239-3098
(503) 494-7680
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN67, PORTLAND, OR 97239-3098
(503) 494-7680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT192342
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
183900
OR
207RP1001X
Pulmonary Disease Physician
183900
OR
Other
Enumeration date
06/25/2008
Last updated
07/21/2022
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