Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Randall Douglas Kelly, MHS, DMSC, PA-C

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922393974

Mr. Randall Douglas Kelly, MHS, DMSC, PA-C is a Physician Assistant in Hermiston, Oregon. Qualified in 2010, 16 years ago. Works from 12 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
16
Licensed in
OR, WA
In the registry since
2011
Specialties on file
6
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

256 E Hurlburt Ave Ste 117
Hermiston, OR 97838-2443
Phone: (541) 303-3558
Fax: (509) 593-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 2900 Nw Clearwater Dr, Bend, OR 97703-9410 — (541) 303-3558
  • 520 Nw 4th St, Corvallis, OR 97330-6411 — (541) 303-3558
  • 761 Main St, Dallas, OR 97338-3108 — (541) 303-3558
  • 1901 Garden Ave Ste 210, Eugene, OR 97403-4301 — (541) 303-3558
  • 71 Centennial Loop Ste A, Eugene, OR 97401-2443 — (541) 303-3558
  • 1345 Nw 15th St, Lincoln City, OR 97367-3327 — (541) 303-3558
  • 1817 Ne 6th Ave, Portland, OR 97212-3960 — (541) 303-3558
  • 1110 Se Alder St Ste 301, Portland, OR 97214-2400 — (541) 303-3558
  • 4909 S Coast Hwy Ste 1k, South Beach, OR 97366-9667 — (541) 303-3558
  • 278 E High St Ste 209, Stayton, OR 97383-1788 — (541) 303-3558
  • 124 W Kennewick Ave Ste 11, Kennewick, WA 99336-3830 — (541) 303-3558

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA184529 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 184529 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA184529 (OR)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence PA184529 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA60205772 (WA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence PA60205772 (WA)

Record details

NPI number1922393974
Entity typeIndividual (Type 1)
GenderMale
Credentials MHS , DMSC , PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hermiston