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Search › Oregon › 1041C0700X

Ryan Kelly

NPI 1013590272 · on the registry since 2021

Practice

Address
702 Sunset Dr
Ontario, OR 97914
Phone
(541) 889-9176
Fax
(541) 889-7873
Organisation at this address
Lifeways, Inc
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
302

Additional practice sites

  • 1030 E Fleetwood Ct, Boise, ID

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
171M00000X
Sex
Male
Record last updated
2026-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon