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

Kellen Earl Plomski, OD, MPH

Individual provider Optometrist · NPI 1902461361

Kellen Earl Plomski, OD, MPH is an Optometry in Clackamas, Oregon. Qualified in 2019, 7 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

12100 SE Stevens Ct Ste 106
Clackamas, OR 97086-4707
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9169 Sw Burnham St, Tigard, OR 97223-6105 — (503) 639-5115
  • 2020 8th Ave, West Linn, OR 97068-4657 — (503) 652-1479

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4447ATI (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902461361
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , MPH
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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