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

Kelly Corey Shaw, LAC

Individual provider Acupuncturist · NPI 1205226107

Kelly Corey Shaw, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

6018 SE Stark St
Portland, OR 97215-1990
Phone: (503) 808-9145
Fax: (503) 808-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC169285 (OR)

Record details

NPI number1205226107
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

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