Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY COREY SHAW, LAC
Active Sole ProprietorKELLY COREY SHAW, LAC is a Acupuncturist healthcare provider located in PORTLAND, Oregon. NPI 1205226107 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · PORTLAND, OR
Registration Details
- NPI Number
- 1205226107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2015 (11.522021688201 yrs)
- Last Updated
- Jan 29, 2015
- License
-
AC169285 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6018 SE STARK STPORTLAND, OR, 972151990Browse OR providers · Browse ZIP 97215
- Phone
- 5038089145
- Fax
- 5038088085
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. JOANNA MARGARET DEHEN | MAO | 1316928591 |
| TAYA S. LINDLEY | LAC | 1508847468 |
| KAREN L FONG | DC, LAC | 1972584449 |
| DR. WILLIAM B DUARTE | DAOM, LAC | 1427030311 |
| DR. LILI ZHENG | DAOM, L.AC. | 1932181492 |
| MS. LISA CAROL FRANCOLINI | L.AC. | 1548244411 |
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.