Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marissa Anne Kellogg, MD, MPH

Individual provider Neurology Physician · NPI 1063642973

Dr. Marissa Anne Kellogg, MD, MPH is a Neurology in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd Dept OF Neurology CR120
Portland, OR 97239-3011
Phone: (503) 494-5682
Fax: (503) 494-6658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD161937 (OR)

Record details

NPI number1063642973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJuly 27, 2009
Last updated in NPPESMarch 22, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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