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KELLY COREY SHAW LAC
NPI 1205226107
Acupuncturist in Portland, OR

Active since January 29, 2015
6018 SE STARK ST, PORTLAND, OR 97215(503) 808-9145(503) 808-8085 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Corey Shaw Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY COREY SHAW LAC (NPI 1205226107) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC169285) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1205226107
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameKELLY COREY SHAWCredential: LAC
Location Address6018 SE STARK STPortland, OR 97215-1990
Mailing Address3280 Se Madison StPortland, OR 97214-4249 · (541) 232-4016 · Fax (503) 473-8085
Phone(503) 808-9145
Fax(503) 808-8085
Sole ProprietorYes
Enumeration DateJanuary 29, 2015
✔ NPI 1205226107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC169285
Definition
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.
6018 SE STARK ST, Portland, OR 97215
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA ALLEN
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (541) 517-9733
TAVIS M JOHANSSON D.C.
Chiropractor
6018 SE STARK ST, SUITE 103
PORTLAND, OR 97215
Multnomah County (503) 808-9145
ELIZABETH FROST-WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (971) 402-9488
LARKIN CORRIGAN
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (541) 517-9733
MS. KELLY FORESTER LMT
Massage Therapist
6018 SE STARK ST, STE. 103
PORTLAND, OR 97215
Multnomah County (503) 754-2696
JENNIFER FOX BS, LMT
Specialist
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 808-9145
PACNORTHWEST COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 730-5760
LEIGH BURGER
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 446-3188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Shaw's NPI number?

The NPI number for Kelly Shaw is 1205226107. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Kelly Shaw located?

Kelly Shaw practices at 6018 SE Stark St, Portland, OR 97215. The listed phone number is (503) 808-9145.

What is Kelly Shaw's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Kelly Shaw was last updated on January 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.