Kelli Loray Mcintosh, LDM, CPM is a
Midwife based in Portland, Oregon. Kelli Loray Mcintosh is licensed to practice in Oregon (license number DEM-LD-10112926) and her current practice location is
Po Box 90309, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 549-4714.
NPI number for Kelli Loray Mcintosh is 1669516605 and her current mailing address is 15025 Ne Rose Pkwy, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669516605.
Healthcare Provider's Profile
Full Name | Kelli Loray Mcintosh |
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Gender | Female |
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Speciality | Midwife |
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Location | Po Box 90309, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669516605
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 02/19/2025
Medical Identifiers
Medical identifiers for Kelli Loray Mcintosh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669516605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L11679 (Oregon) | Secondary |
176B00000X | Midwife | DEM-LD-10112926 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Loray Mcintosh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelli Loray Mcintosh, LDM, CPM 15025 Ne Rose Pkwy, Portland, OR 97230-4522 Ph: (503) 329-4107 | Kelli Loray Mcintosh, LDM, CPM Po Box 90309, Portland, OR 97290-0309 Ph: (503) 549-4714 |
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