KELLY LYNN DEAN
NPI 1114812351
Student in an Organized Health Care Education/Training Program in Portland, OR

NPI Status: Active since June 10, 2025

Contact Information

2730 S MOODY AVE
PORTLAND, OR
ZIP 97201
Phone: (503) 494-3633

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About KELLY DEAN

This page provides the complete NPI Profile along with additional information for Kelly Dean, a primary care provider established in Portland, Oregon with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1114812351 assigned on June 2025. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1114812351
Provider Name
KELLY LYNN DEAN
Gender
Female
Entity Type
Individual
Location Address
2730 S MOODY AVE PORTLAND, OR 97201
Location Phone
(503) 494-3633
Mailing Address
2730 S MOODY AVE PORTLAND, OR 97201
Is Sole Proprietor?
No
Enumeration Date
06-10-2025
Last Update Date
06-10-2025
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A primary care provider (PCP) like Kelly Dean sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114812351
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241614310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 6 + 1 + 4 + 3 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1114812351 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184246704 VICTOR COLLAZO VIDALES JR.
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-0843
1073137584 ANDREW HAN
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-3633
1487266201MR. DAVID QUINLIN CORNWELL
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8428
1437751799 NATASHA SUE MCKIBBEN
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8428
1194316562 ERIN HEATH
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 816-8160
1447612965 YELA CAREY
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-3633
1538743521 JAMIE LYNN PARKER BS, RDH
Individual
Dental Hygienist2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-4316
1427623347MRS. KALLEE ALENNA DALTON RDH
Individual
Dental Hygienist2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-4316
1598331241DR. JEFFERY RAWLEY DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8867
1174291348 JENNIFER HERRERA
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-1408
1184392326 FANESHEANA BARKSDALE
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(517) 528-6998
1518620095DR. CHING-YUN HSU B.D.S.,M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-9565
1164167433 RACHEL SHORE MD STUDENT
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8428
1841553609DR. RYAN HOMER SHURTZ DDS, MS
Individual
Dentist (Endodontics)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-1352
1942944145 SACHIN DEV RAO
Individual
Dentist (General Practice)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8867
1831828094DR. GIANNCARLO CRUZ DDS
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8867
1427459650 SOHYON KIM
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8921
1932834074 ANGELA AN-CHI LI DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-8867
1518687391 HANNAH VICTORIA ZWEIG
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-3633
1255052494 JACQUELINE BROWN
Individual
Student in an Organized Health Care Education/Training Program2730 S MOODY AVE
PORTLAND, OR 97201
(503) 494-3633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114812351, enumerated in the NPI registry as an "individual" on June 10, 2025

The provider is located at 2730 S Moody Ave Portland, Or 97201 and the phone number is (503) 494-3633

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on June 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.