Mr. Randall Douglas Kelly
MHS, DMSC, PA-C | Addiction (Substance Use Disorder) Counselor | 16+ years Exp
256 E Hurlburt Ave Ste 117, Hermiston
Oregon, 97838-2443
541-303-3558 509-593-4644
Maps & DirectionsMr. Randall Douglas Kelly is a Hermiston, Oregon based counselor with 16 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Randall Douglas Kelly is PA184529 for Physician Assistant in Oregon. His current practice location is 256 E Hurlburt Ave Ste 117, Hermiston. Patients can book an appointment with him at 541-303-3558.
Mr. Randall Douglas Kelly is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Randall Douglas Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Randall Douglas Kelly |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | MHS, DMSC, PA-C |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2010 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 256 E Hurlburt Ave Ste 117, Hermiston,
Oregon, 97838-2443 |
| Phone: | 541-303-3558 |
| Fax: | 509-593-4644 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0446420004 |
| Enrollment ID: | I20180110000577 |
| NPI Number: | 1922393974 |
| NPI Enumeration Date: | 16 Jun, 2011 |
| NPI Last Update On: | 27 Mar, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Randall Douglas Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| PA184529 | Physician Assistant | Oregon | Primary | |
| 184529 | Addiction (Substance Use Disorder) Counselor | Oregon | Secondary | |
| PA184529 | Physician Assistant | Oregon | Secondary | |
| PA184529 | | Oregon | Secondary | |
| PA60205772 | Physician Assistant | Washington | Secondary | |
| PA60205772 | | Washington | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Randall Douglas Kelly is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Equinox Clinics Llc (4587992037) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Randall Douglas Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2013576 | Medicaid | Washington | |
| 0281857 | Other | Washington | LABOR & INDUSTRIES |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5426 Road 68 Ste D253,
Pasco, Washington |
| Zip: | 99301-5268 |
| Phone Number: | 541-303-3558 |
| Fax Number: | 509-593-4644 |
Patients can reach Mr. Randall Douglas Kelly at
256 E Hurlburt Ave Ste 117, Hermiston, Oregon or can
call to book an appointment on 541-303-3558.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.