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

Shelby J Wake

Individual provider Adult Companion · NPI 1104480334

Shelby J Wake is an Adult Companion in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone: (503) 238-0769
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 number1104480334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESApril 23, 2019
Mailing addressPo Box 8459, Portland, OR 97207-8459

Other providers in Portland