SAMUEL M SHALES M.D.
NPI 1356907364
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since May 15, 2019
3101 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239(503) 221-3424(503) 221-3490 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, May 15, 2019 (2 updates tracked since 2019).

About Samuel M Shales M.d. NPPES

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

SAMUEL M SHALES M.D. (NPI 1356907364) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1356907364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL M SHALESCredential: M.D.
Location Address3101 SW SAM JACKSON PARK ROADPortland, OR 97239
Mailing Address3101 Sw Sam Jackson Park RoadPortland, OR 97239 · (503) 221-3424 · Fax (503) 221-3490
Fax(503) 221-3490
Sole ProprietorNo
Enumeration DateMay 15, 2019
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
NPI 1356907364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3101 SW SAM JACKSON PARK ROAD, Portland, OR 97239

Other Providers at the Same Location NPPES 18

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

Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Anesthesiology (Pediatric Anesthesiology)
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239

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 Samuel Shales's NPI number?

The NPI number for Samuel Shales is 1356907364. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Samuel Shales located?

Samuel Shales practices at 3101 SW Sam Jackson Park Road, Portland, OR 97239. The listed phone number is (503) 221-3424.

What is Samuel Shales's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Shales was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.