DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMUEL GARDNER SHILEY MD

MEDICARE: DR. SAMUEL GARDNER SHILEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianMD25260OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861429227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL GARDNER SHILEY MD
Provider Business Mailing Address
First Line : 541 NE 20TH AVE STE 225
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2895
Country : US
Telephone Number : 503-963-2801
Fax Number : 503-963-2825
Provider Business Practice Location Address
First Line : 2701 NW VAUGHN ST STE 150
Second Line :
City : PORTLAND
State : OR
Zip : 97210-5379
Country : US
Telephone Number : 503-229-8455
Fax Number : 503-229-7028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/20/2025

Similar Medicare Providers

1932109733 — DR. R STERLING HODGSON MD
Practice Location Address:
2701 NW VAUGHN ST STE 150
PORTLAND, OR
97210-5379
Practice Phone: 503-229-8455
Practice Fax: 503-229-7028
1083726988 — PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Practice Location Address:
2701 NW VAUGHN ST STE 150
PORTLAND, OR
97210-5379
Practice Phone: 503-205-0320
Practice Fax: 503-205-0641
1720539810 — ANNA-MARIE ELIZABETH WOOD AUD
Practice Location Address:
2701 NW VAUGHN ST STE 150
PORTLAND, OR
97210-5379
Practice Phone: 503-229-8455
Practice Fax: 503-229-7028
1205463312 — ANDREA LEIGH HUXTABLE PAC
Practice Location Address:
2701 NW VAUGHN ST STE 150
PORTLAND, OR
97210-5379
Practice Phone: 503-229-8455
Practice Fax: 503-229-7028
1295363612 — JUSTIN ALEXANDER HALL
Practice Location Address:
2701 NW VAUGHN ST STE 150
PORTLAND, OR
97210-5379
Practice Phone: 503-229-8455
Practice Fax: 503-229-7028
1548996325 — DR. DEVEN ALLERT DMD
Practice Location Address:
2311 NW NORTHRUP ST STE 101
PORTLAND, OR
97210-2912
Practice Phone: 503-228-6294
Practice Fax:

Directions to “ DR. SAMUEL GARDNER SHILEY MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.