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Individual

CHLOE M SHANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL17057
OR
207R00000X
Internal Medicine Physician
Primary
MD151210
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD151210
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025872
OR
01
P00881778
RR MEDICARE - PHS
OR
Enumeration date
08/06/2007
Last updated
12/03/2025
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