Search › Oregon › 1223G0001X
Samuel Kelly
NPI 1174018022 · on the registry since 2018
Practice
- Address
- 3380 Astoria Way Ne
Salem, OR 97305 - Phone
- (971) 600-0211
- Organisation at this address
- Samuel R Kelly Dmd Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon