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

Shawn Kelly

Individual provider Adult Companion · NPI 1336565712

Shawn Kelly is an Adult Companion in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

945 NE 165th Ave
Portland, OR 97230-6148
Phone: (503) 408-8100
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1336565712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESMarch 10, 2014

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