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

Dr. Samuel Gardner Shiley, MD

Individual provider Otolaryngology Physician · NPI 1861429227

Dr. Samuel Gardner Shiley, MD is an Otolaryngology in Portland, Oregon. Graduated from University of California, Irvine, California College of Medicine in 1999, 27 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
27
Trained at
University of California, Irvine, California College of Medicine
Licensed in
OR
In the registry since
2006
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

2701 NW Vaughn St Ste 150
Portland, OR 97210-5379
Phone: (503) 229-8455
Fax: (503) 229-7028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD25260 (OR)

Record details

NPI number1861429227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address541 Ne 20th Ave Ste 225, Portland, OR 97232-2895

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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