Individual provider · Type 1 NPI

Samuel Gardner Shiley, MD

Otolaryngology Physician · Portland, OR

NPI number 1861429227 Active

Practice location

2701 NW Vaughn St Ste 150
Portland, OR 97210-5379

Call (503) 229-8455 Map

Fax (503) 229-7028

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XMD25260 (OR)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1861429227

Samuel Gardner Shiley, MD's National Provider Identifier is 1861429227, issued on Jun 28, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.