Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin R. Shirley, MD

Individual provider Family Medicine Physician · NPI 1508111691

Dr. Justin R. Shirley, MD is a Family Practice in Keizer, Oregon. Graduated from Drexel University College of Medicine in 2012, 14 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Oregon and Washington.

Years since qualifying
14
Trained at
Drexel University College of Medicine
Licensed in
IN, OR, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5940 Ulali Dr NE
Keizer, OR 97303-1500
Phone: (270) 798-8254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD217809 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01073652A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61478042 (WA)

Record details

NPI number1508111691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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