Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598180085 Individual Practitioner Female Practitioner

Kelley Crombie , LMT

Specialist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Kelley Crombie, LMT is a registered healthcare professional specializing in Specialist in Gresham, OR. Practice services are available at 1748 NW FAIRVIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1748 Nw Fairview Dr

Gresham, OR 970303842

Telephone 5034923910
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
56 Specialists

Practicing in Gresham, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 16857

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Massage Therapist
16857 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1073065017

Licensed Massage Therapist

Cecil Herndon , LMT

Massage Therapist

NPI 1073852745

Licensed Massage Therapist

NPI 1104116367
NPI 1134325624

Licensed Massage Therapist

Shannon Steele

Specialist

NPI 1144625419
Kate Madden

Specialist/Technologist, Other

NPI 1205443298

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2014

Registered at 1748 NW FAIRVIEW DR, GRESHAM, OR 970303842 (Tel: 5034923910)

📍
Updated Business Mailing Address February 20, 2014

Registered at 39332 TRILLIUM ST, SANDY, OR 970555399 (Tel: 5039352729)

👤
Provider Name / Credentials Updated February 20, 2014

Recorded as KELLEY CROMBIE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Specialist (License #16857 in OR)

🟢
Initial NPI Registration & Enumeration February 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598180085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2014
Last Update: February 20, 2014
Sole Proprietor: Yes

Mailing Address

39332 Trillium St

Sandy, OR 970555399

Phone: 5039352729

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.