Alisha Kelley, is a
Social Worker - Clinical based in Portland, Oregon. Alisha Kelley is licensed to practice in Oregon (license number L10710) and her current practice location is
401 Ne 19th Ave Ste 200, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 358-2146.
NPI number for Alisha Kelley is 1265889687 and her current mailing address is 401 Ne 19th Ave Ste 200, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265889687.
Healthcare Provider's Profile
Full Name | Alisha Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 401 Ne 19th Ave Ste 200, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265889687
- Provider Enumeration Date: 05/16/2016
- Last Update Date: 10/20/2023
Medical Identifiers
Medical identifiers for Alisha Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265889687 | NPI | - | NPPES |
871808355 | Other | OR | EEEIIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L10710 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisha Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alisha Kelley, 401 Ne 19th Ave Ste 200, Portland, OR 97232-4800 Ph: (503) 358-2146 | Alisha Kelley, 401 Ne 19th Ave Ste 200, Portland, OR 97232-4800 Ph: (503) 358-2146 |
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