Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Selis, LCSW

Organization Clinical Social Worker · NPI 1841575974

Kelly Selis, LCSW provides Clinical Social Worker services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011

Practice location Address checks out

1715 E Burnside St
Portland, OR 97214 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 502-0208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L3485 (OR)

Record details

NPI number1841575974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Selis — Psychotherapist · (503) 502-0208
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011
Mailing address1715 E. Burnside St., Portland, OR 97214

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