DR. SHELLEY SUZANNE SELPH M.D. M.P.H. NPI 1760511562

NPI Information

NPI: 1760511562
Provider Name: DR. SHELLEY SUZANNE SELPH, M.D., M.P.H.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3181 SW SAM JACKSON PARK RD
DEPARTMENT OF FAMILY MEDICINE
PORTLAND, OR
ZIP 97239
Phone: (503) 528-4264
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DR. Shelley Suzanne Selph, M.D., M.P.H. is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shelley Suzanne Selph, M.D., M.P.H. NPI is 1760511562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
DEPARTMENT OF FAMILY MEDICINE
PORTLAND, OR
ZIP 97239-011
Phone: (503) 528-4264

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		9145	NORTH DAKOTA	No
2	207Q00000X	Family Medicine		MD167249	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24779	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	PART B
2	24779	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
3	H77457	MEDICARE UPIN	NORTH DAKOTA
4	12160	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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