Individual
JARED ADAM SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11000 SW STRATUS ST STE 310, BEAVERTON, OR 97008-7144
(503) 297-3778
(503) 297-7853
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD154067
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD154067
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017145
—
WA
05
—
500636829
—
OR
Enumeration date
05/18/2007
Last updated
05/15/2026
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