Healthcare Provider Details

I. General information

NPI: 1811861982
Provider Name (Legal Business Name): KAILEY MCHUGH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAILEY COLEMAN RN

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 NE STUCKI AVE
HILLSBORO OR
97124-5806
US

IV. Provider business mailing address

2875 NE STUCKI AVE
HILLSBORO OR
97124-5806
US

V. Phone/Fax

Practice location:
  • Phone: 971-310-4200
  • Fax:
Mailing address:
  • Phone: 971-310-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number201340223RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10061029
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: