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Dr. SAMUEL GARDNER SHILEY MD

Individual Provider (NPI-1) Active

Otolaryngology

Provider Information

NPI Number
1861429227
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
2701 NW VAUGHN ST STE 150, PORTLAND, OR, 972105379
Phone
(503) 229-8455
Fax
(503) 229-7028

Specialties & Taxonomies

Otolaryngology Primary License: OR #MD25260

All Addresses

LOCATION

2701 NW VAUGHN ST STE 150

PORTLAND, OR, 972105379

(503) 229-8455

MAILING

541 NE 20TH AVE STE 225

PORTLAND, OR, 972322895

(503) 963-2801