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

Mrs. Serena Phromsivarak Kelly, ACPNP

Individual provider Acute Care Nurse Practitioner · NPI 1457545899

Mrs. Serena Phromsivarak Kelly, ACPNP is an Acute Care Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

3181 SW Sam Jackson Park Rd Mail Code DC8N
Portland, OR 97239-3011
Phone: (503) 418-5881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 200750101 (OR)

Record details

NPI number1457545899
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACPNP
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESNovember 16, 2016

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