SHELBY VICTORIA ANDERSON MD
NPI 1780155721
Student in an Organized Health Care Education/Training Program in Portland, OR
About Shelby Victoria Anderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY VICTORIA ANDERSON MD (NPI 1780155721) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelby Victoria Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Shelby Anderson's NPI number?
The NPI number for Shelby Anderson is 1780155721. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Shelby Anderson located?
Shelby Anderson practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Shelby Anderson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shelby Anderson enrolled in Medicare?
Yes. Shelby Anderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shelby Anderson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Shelby Victoria Anderson, MD · NPI 1780155721
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1780155721 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780155721) · Data from the CMS NPPES public registry.