Kelly Washburn, Inc.
NPI 1003560517ActiveOrganization· Nurse Practitioner, Adult Health· Portland, OR
Nurse Practitioner, Adult Health in Portland, Oregon, registered in NPPES in February 2022. The authorized official on file is Elizabeth Pondolfino, Medical Office Manager.
Overview
| NPI | 1003560517 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2022 |
| Last updated in NPPES | Feb 4, 2022 |
| Certified by provider | Feb 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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