Individual
DR. SAMUEL GARDNER SHILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 NW VAUGHN ST STE 150, PORTLAND, OR 97210-5379
(503) 229-8455
(503) 229-7028
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
207Y00000X
Otolaryngology Physician
Primary
MD25260
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059958
—
WA
05
—
269657
—
OR
Enumeration date
06/28/2006
Last updated
06/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us