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

Samuel M Shales, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356907364

Samuel M Shales, MD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
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

3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone: (503) 221-3424
Fax: (503) 221-3490
Show map & directions

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 (OR)

Record details

NPI number1356907364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

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