Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Imelda C Kelly, MD

Individual provider Family Medicine Physician · NPI 1356306575

Imelda C Kelly, MD is a Family Practice in Portland, Oregon. Qualified in 1988, 38 years ago. Practices with Portland Adventist Medical Center, a 272-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
38
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 NE 122nd Ave Ste 200
Portland, OR 97230-2011
Phone: (503) 408-7008
Fax: (503) 408-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD23862 (OR)

Record details

NPI number1356306575
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Portland Adventist Medical Center — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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