IndividualActive
Shellie Russell-Skerski, M.D.
NPI 1790849065 · Pediatric Adolescent Medicine Physician · Newport, OR
Provider details
- NPI number
- 1790849065
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 35-077921 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
930 Sw Abbey St Ste a
Newport, OR 97365-4820
Phone: (541) 265-8816
Fax: (541) 812-2069
Street-level locationGet directions
Mailing address
Po Box 2847
Corvallis, OR 97339-2847
Additional practice locations (1)
- 128 E Milltown Rd Ste 209Wooster, OH 44691-1276Phone: (330) 345-1100Fax: (330) 345-1194
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.