Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Kathleen Wolfe Fromuth, AGPCNP-PP

Individual provider Adult Health Nurse Practitioner · NPI 1689052201

Kelly Kathleen Wolfe Fromuth, AGPCNP-PP is a Nurse Practitioner in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Housecall Providers PC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

5100 SW Macadam Ave #200
Portland, OR 97239-6102
Phone: (971) 202-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 201501921NP-PP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 201501921NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 201501921NP-PP (OR)

Record details

NPI number1689052201
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-PP
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Housecall Providers Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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