1922393974 Mr. Randall Douglas Kelly, MHS, DMSC, PA-C
Physician Assistant
Active
Basic Information
- Full Name
- Mr. Randall Douglas Kelly, MHS, DMSC, PA-C
- Gender
- Male
- Enumeration Date
- June 16, 2011
- Last Update
- April 2, 2025
Practice Location
- Address
- 256 E HURLBURT AVE STE 117
HERMISTON, OR 978382443 - Phone
- (541) 303-3558
- Fax
- (509) 593-4644
Mailing Address
- Address
- 5426 ROAD 68 STE D253
PASCO, WA 993015268 - Phone
- (541) 303-3558
- Fax
- (509) 593-4644
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | 184529 | OR | No |
| Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | 2083A0300X | Preventive Medicine | PA60205772 | WA | No |
| Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | 2083A0300X | Preventive Medicine | PA184529 | OR | No |
| Physician Assistant | 363A00000X | Physician Assistant | PA60205772 | WA | No |
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | PA184529 | OR | No |
| Physician Assistant | 363A00000X | Physician Assistant | PA184529 | OR | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281857 | 01 | WA | LABOR & INDUSTRIES |
| 2013576 | 05 | WA | N/A |
Additional Practice Locations
1817 NE 6th Ave
Portland, OR 972123960
Portland, OR 972123960
Phone: (541) 303-3558
Fax: (509) 593-4644
4909 S Coast Hwy Ste 1K
South Beach, OR 973669667
South Beach, OR 973669667
Phone: (541) 303-3558
Fax: (509) 593-4644
124 W Kennewick Ave Ste 9
Kennewick, WA 993363830
Kennewick, WA 993363830
Phone: (541) 303-3558
Fax: (509) 593-4644
74 E 18th Ave
Eugene, OR 974014081
Eugene, OR 974014081
Phone: (541) 303-3558
Fax: (509) 593-4644
32405 Diagonal Rd
Hermiston, OR 978387503
Hermiston, OR 978387503
Phone: (541) 303-3558
Fax: (509) 593-4644
145 N Coast Hwy Ste B
Newport, OR 973653165
Newport, OR 973653165
Phone: (541) 303-3558
Fax: (509) 593-4644
520 NW 4th St
Corvallis, OR 973306411
Corvallis, OR 973306411
Phone: (541) 303-3558
Fax: (509) 593-4644
761 Main St
Dallas, OR 973383108
Dallas, OR 973383108
Phone: (541) 303-3558
Fax: (509) 593-4644
1110 SE Alder St Ste 301
Portland, OR 972142400
Portland, OR 972142400
Phone: (541) 303-3558
Fax: (509) 593-4644
Frequently Asked Questions
What is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's NPI number?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's NPI number is 1922393974.
Which doctor has NPI number 1922393974?
The doctor with NPI number 1922393974 is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C.
What is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's practice address?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's practice address is 256 E HURLBURT AVE STE 117, HERMISTON, OR, 978382443.
Which doctor practices at 256 E HURLBURT AVE STE 117, HERMISTON, OR, 978382443?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C practices at 256 E HURLBURT AVE STE 117, HERMISTON, OR, 978382443.
What is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's mailing address?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's mailing address is 5426 ROAD 68 STE D253, PASCO, WA, 993015268.
What is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's phone number?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's phone number is (541) 303-3558.
Who is (541) 303-3558?
(541) 303-3558 is the phone number for Mr. Randall Douglas Kelly, MHS, DMSC, PA-C.
What is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's specialty?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C's specialty is Physician Assistant.
What type of doctor is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C is a Physician Assistant.
Is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C a Physician Assistant?
Yes, Mr. Randall Douglas Kelly, MHS, DMSC, PA-C is a Physician Assistant.
Is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C still practicing?
Yes, Mr. Randall Douglas Kelly, MHS, DMSC, PA-C is currently practicing.
Is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C accepting new patients?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C may be accepting new patients. Please call their office at (541) 303-3558 to inquire about availability.
Is NPI 1922393974 still active?
Yes, NPI 1922393974 is currently active.
Where does Mr. Randall Douglas Kelly, MHS, DMSC, PA-C practice?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C practices in HERMISTON, OR.
Is Mr. Randall Douglas Kelly, MHS, DMSC, PA-C a male or female doctor?
Mr. Randall Douglas Kelly, MHS, DMSC, PA-C is a male doctor.