IndividualActive
Kelly Shaw, LAC
NPI 1205226107 · Acupuncturist · Portland, OR
Kelly Shaw, LAC is a Acupuncturist provider in Portland, OR (NPI 1205226107).
Provider details
- NPI number
- 1205226107
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AC169285 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6018 Se Stark St
Portland, OR 97215-1990
Phone: (503) 808-9145
Fax: (503) 808-8085
Street-level locationGet directions
Mailing address
3280 Se Madison St
Portland, OR 97214-4249
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2015-01-29
Frequently asked questions
- What is Kelly Shaw's NPI number?
- Kelly Shaw's National Provider Identifier (NPI) is 1205226107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Shaw's specialty?
- Kelly Shaw is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Kelly Shaw located?
- Kelly Shaw's practice location on file with NPPES is 6018 Se Stark St, Portland, OR 97215-1990.
- What is Kelly Shaw's phone number?
- The practice phone number listed in the NPPES registry for Kelly Shaw is (503) 808-9145.
- Is Kelly Shaw's NPI active?
- Yes — Kelly Shaw's NPI (1205226107) is active in the NPPES registry as of the last update on 2015-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.