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

Individual provider Physician Assistant · NPI 1679107841

Kelsey Locken, PA-C, RTR is a Physician Assistant in Salem, Oregon. Qualified in 2019, 7 years ago. Practices with Radia Inc P S, a 274-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2020
Specialties on file
2
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

2925 Ryan Dr SE
Salem, OR 97301-9687
Phone: (503) 399-1262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61454774 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679107841
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RTR
Sole proprietorNo
NPI enumeratedFebruary 26, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Radia Inc P S — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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