Kelsey Linde Richardson

Pediatric Nephrology | Female

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Complete Profile:

Kelsey Linde Richardson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Kelsey Linde Richardson
Gender :	Female

Business Address:

Kelsey Linde Richardson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3181 Sw Sam Jackson Hall Rd Portland, OR, 97239 United States
Phone Number :	503-494-4265

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1477852259
NPI Entity Type :	Individual
First Enrolment Date :	20 Mar, 2011
Last Updated On :	21 Jul, 2022

Medicare Participation:

Kelsey Linde Richardson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5890010250
Medicare Enrollment ID :	I20170817001490
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Southern California Keck School Of Medicine
Graduation Year :	2011
Accepts Medicare?	Yes. Kelsey Linde Richardson accepts medicare insurance.

Group Practice Association:

Kelsey Linde Richardson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kelsey Linde Richardson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Oregon Health And Sciences University/university Medical Group	4880760107	1435	3181 Sw Sam Jackson Park Rd Portland, OR - 972393011 Ph: 5034948311	Yes
Oregon Health And Sciences University/university Medical Group	4880760107	1435	3377 Riverbend Dr Fl 4 Springfield, OR - 974778803 Ph: 5412226531	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelsey Linde Richardson are as mentioned. Primary taxonomy code for Kelsey Linde Richardson is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	ML60224535	WA
2080P0210X	Pediatrics Pediatric Nephrology	Yes	MD182992	OR

Other Practice Locations:

Practice Address	City, State	Phone Number
4800 SAND POINT WAY NE, A-5950 SEATTLE, WA, 98105-3901 United States	SEATTLE, WA	206-987-2525

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3181 Sw Sam Jackson Hall Rd Portland, OR, 97239 United States
Phone Number :	503-494-4265

Business Location:

Patients can refer following map for directions to Kelsey Linde Richardson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.