KELLY COREY SHAW (NPI# 1205226107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226107 |
| Entity Type | Individual |
| Full Name | KELLY COREY SHAW |
| Credential | LAC |
| Practice Address |
6018 Se Stark St Portland OR 97215-1990 |
| Mailing Address |
3280 Se Madison St Portland OR 97214-4249 |
| Practice Telephone | 5038089145 |
| Practice Fax Number | 5038088085 |
| Mailing Telephone | 5412324016 |
| Mailing Fax Number | 5034738085 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC169285 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762822 | Kelly Shaw | Student in an Organized Health Care Education/Training Program | 9800 Warwickshire Ln, Charlotte, NC 28270-1601 | 2020-05-19 |
| 1114113214 | Kelly L Shaw | Registered Nurse | 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 | 2007-09-21 |
| 1801928924 | Kelly P Shaw | Dentist | 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 | 2007-03-12 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1700277852 | Kelly Shaw | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-02-11 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| 1235255829 | Kelly Shaw | Occupational Therapy Assistant | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| Street Address |
6018 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003908120 | Kimberly Susan Shotz | Acupuncturist | 6018 Se Stark St, Ste 103, Portland, OR 97215-1990 | 2006-09-28 |
| 1174169890 | Pacnorthwest Counseling | Clinic/Center | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-11-19 |
| 1619520566 | Renee Barnett | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-07-19 |
| 1700365541 | Elizabeth Lenkeit Hoke | Marriage & Family Therapist | 6018 Se Stark St, Portland, OR 97215-1990 | 2018-08-13 |
| 1316484355 | Miho Hatanaka | Dietitian, Registered | 6018 Se Stark St, Portland, OR 97215 | 2017-01-29 |
| 1770956484 | Charlotte Elisabeth Kahler | Massage Therapist | 6018 Se Stark St, Suite 103, Portland, OR 97215-1990 | 2015-11-03 |
| 1518335280 | Amia Huang | Psychologist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-10 |
| 1710355755 | Kimberly M Crow | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-08 |
| 1285016451 | Tabor View Health and Wellness | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-06-24 |
| 1003206095 | Aaron M Guzik | Chiropractor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
| 1841897550 | Woven Wellness LLC | Acupuncturist | 6511 N Interstate Ave, Portland, OR 97217-4835 | 2020-10-06 |
| 1518571322 | Charisse Renee Squires | Acupuncturist | 1804 Se Oak St, Portland, OR 97214-1538 | 2020-08-31 |
| 1659989069 | Touchet Acupuncture | Acupuncturist | 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 | 2020-07-22 |
| 1417571480 | Dragon Rises Center for Wholeness | Acupuncturist | 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 | 2020-06-04 |
| 1972126191 | Acupuncture By Maya Martinez LLC | Acupuncturist | 12732 Se Stark St Bldg G, Portland, OR 97233-1539 | 2020-05-21 |
| 1437771854 | Hannah Grice | Acupuncturist | 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 | 2020-05-07 |
| 1164043022 | Michelle Yan | Acupuncturist | 2855 Nw Thurman St, Portland, OR 97210-2206 | 2020-05-01 |
| 1174144562 | Dean Mcnash | Acupuncturist | 2222 Se Woodward St, Portland, OR 97202-2157 | 2020-04-27 |
| 1205456548 | Zev J Alpert | Acupuncturist | 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 | 2020-04-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.