Randall Douglas Kelly, MHS, DMSC, PA-C
Physician Assistant · Hermiston, OR
At a glance
256 E Hurlburt Ave Ste 117, Hermiston, OR 97838-2443
NPPES record updated Mar 27, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
256 E Hurlburt Ave Ste 117Hermiston, OR 97838-2443
Additional reported practice locations
278 E High St Ste 209Stayton, OR 973831788
Phone: 5413033558
Fax: 5095934644 71 Centennial Loop Ste A
Eugene, OR 974012443
Phone: 5413033558
Fax: 5095934644 761 Main St
Dallas, OR 973383108
Phone: 5413033558
Fax: 5095934644 1901 Garden Ave Ste 210
Eugene, OR 974034301
Phone: 5413033558
Fax: 5095934644 2900 Nw Clearwater Dr
Bend, OR 977039410
Phone: 5413033558
Fax: 5095934644 1817 Ne 6Th Ave
Portland, OR 972123960
Phone: 5413033558
Fax: 5095934644 1110 Se Alder St Ste 301
Portland, OR 972142400
Phone: 5413033558
Fax: 5095934644 4909 S Coast Hwy Ste 1K
South Beach, OR 973669667
Phone: 5413033558
Fax: 5095934644 124 W Kennewick Ave Ste 11
Kennewick, WA 993363830
Phone: 5413033558
Fax: 5095934644 520 Nw 4Th St
Corvallis, OR 973306411
Phone: 5413033558
Fax: 5095934644 1345 Nw 15Th St
Lincoln City, OR 973673327
Phone: 5413033558
Fax: 5095934644
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2010
- CMS specialties
- Physician Assistant
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $129.75 |
Reporting companies
| Company | Amount |
|---|---|
| BRAEBURN INC. | $129.75 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant
- Taxonomy code
- 363A00000X
- Enumeration date
- Jun 16, 2011
- Record updated
- Mar 27, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MHS, DMSC, PA-C
Reported taxonomies and licenses
101YA0400X
License reported: 184529 OR
363AM0700X
License reported: PA184529 OR
2083A0300X
License reported: PA184529 OR
363A00000X
License reported: PA60205772 WA
2083A0300X
License reported: PA60205772 WA
363A00000X · Primary
License reported: PA184529 OR
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
256 E Hurlburt Ave Ste 117Hermiston, OR 97838-2443
- Phone
- (541) 303-3558
- Fax
- (509) 593-4644
Mailing address
5426 ROAD 68 STE D253PASCO, WA 993015268
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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