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

Individual provider Surgical Physician Assistant · NPI 1255328290

Kelly Mahara Bartholomew, PA-C is a Surgical Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2226 NW Pettygrove
Portland, OR 97210
Phone: (503) 223-6223
Fax: (503) 223-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (OR)

Record details

NPI number1255328290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESMay 1, 2015

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