NPI 1013955798

Kelly Dean Pridgen, MD

Practitioner Emergency Medicine Physician Pendleton, OR

Practice location

Address: 1601 SE Court Ave, Pendleton, OR 97801-3217
Phone: (541) 276-5121
Fax: (541) 278-3661
Mailing address: 505 S 336th St Suite 600, Federal Way, WA 98003-6328

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD24109 (OR)

Other Emergency Medicine providers in Oregon →

Registry record

NPI: 1013955798
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2006
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.