Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR SHANE SHEPHERD, PA-C
Active Sole ProprietorTAYLOR SHANE SHEPHERD, PA-C is a Physician Assistant healthcare provider located in VALE, Oregon. NPI 1043909955 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VALE, OR
Registration Details
- NPI Number
- 1043909955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2023 (3.2720920635889 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
PA218950 (OR)PA2737 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
789 WASHINGTON ST WVALE, OR, 979181147Browse OR providers · Browse ZIP 97918
- Phone
- 8018592595
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.