Search › Oregon › 101YA0400X
Nathan Kennelly, CRM, CADC R
NPI 1871304279 · on the registry since 2025
Practice
- Address
- 1217 Ne Burnside Rd Ste 701
Gresham, OR 97030 - Phone
- (503) 740-6449
- Organisation at this address
- Brian Knight Do Llc
Kathleen Kline, Lmt
Home Care Heroes Llc
Cheryl C. Tidball Do Pc
Complete Family Healthcare, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 175T00000X
- Sex
- Male
- Record last updated
- 2025-01-15
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