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SHAWN KELLY
NPI 1336565712
Adult Companion in Portland, OR

Active since March 10, 2014
945 NE 165TH AVE, PORTLAND, OR 97230(503) 408-8100 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Kelly NPPES

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

SHAWN KELLY (NPI 1336565712) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1336565712
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameSHAWN KELLY
Location Address945 NE 165TH AVEPortland, OR 97230-6148
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 408-8100
Sole ProprietorNo
Enumeration DateMarch 10, 2014
✔ NPI 1336565712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
945 NE 165TH AVE, Portland, OR 97230
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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.

SYDNEY LEWIS
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
MR. GREGORY DUANE GOSS
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
MADYSEN VERBOUT
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
JOEL PETER MEYER
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
SHAI JOANN LOVE WALLACE
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
CASCADIA BEHAVIORAL HEALTHCARE
Community Based Residential Treatment Facility, Mental Illness
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
BRIANA LANAE SHEPHERD
Adult Companion
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
JAMES MICHAEL ANDERSON
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100

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 Shawn Kelly's NPI number?

The NPI number for Shawn Kelly is 1336565712. It was assigned to this individual provider in the NPPES registry on March 10, 2014.

Where is Shawn Kelly located?

Shawn Kelly practices at 945 NE 165th Ave, Portland, OR 97230. The listed phone number is (503) 408-8100.

What is Shawn Kelly's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Shawn Kelly was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.