Individual
WILLIAM WALTER SHELY III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OAK ST SE, SUITE 5020, SALEM, OR 97301-3975
(503) 371-4044
(503) 371-4356
Mailing address
975 SE SANDY BLVD, SUITE 200, PORTLAND, OR 97214-1308
(503) 963-2846
(503) 963-9505
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G68679
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00033156
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD14793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073705
—
OR
05
—
8178899
—
WA
Enumeration date
08/24/2005
Last updated
07/09/2007
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