Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly B Shriver, MD, MDIV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386267839

Dr. Kelly B Shriver, MD, MDIV is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386267839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MDIV
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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