IndividualActive
Carolyn Shelak, MD, PHD
NPI 1972649283 · Pediatric Critical Care Medicine Physician · Portland, OR
Provider details
- NPI number
- 1972649283
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Female
- Sole proprietor
- No
- License
- MD29218 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2801 N Gantenbein Ave
Legacy Emanuel Children'S Hospital
Portland, OR 97227-1623
Phone: (503) 413-3540
Approximate (ZIP-level) locationGet directions
Mailing address
2801 N Gantenbein Avenue
Portland, OR 97225
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.