DR. CAROLYN F SHELAK


Address: 2801 N Gantenbein Ave, Legacy Emanuel Children's Hospital, Portland, OR 97227-1623
Phone: 5034133540

DR. CAROLYN F SHELAK (NPI# 1972649283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972649283
Entity Type Individual
Full Name DR. CAROLYN F SHELAK
Credential MD, PHD
Practice Address 2801 N Gantenbein Ave
Legacy Emanuel Children's Hospital
Portland
OR 97227-1623
Mailing Address 2801 N Gantenbein Avenue
Portland
OR 97225
Practice Telephone 5034133540
Mailing Telephone 5034133540
Enumeration Date 2007-01-30
Last Update Date 2011-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD29218 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 2801 N GANTENBEIN AVE
LEGACY EMANUEL CHILDREN'S HOSPITAL
City PORTLAND
State OR
Zip Code 97227-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027198 James P Mccord Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2005-07-20
1225639040 Lina Rossetti-grulich Nurse Practitioner 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-11-06
1033722673 Karen Bronson Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-08-24
1356969331 Sandy Hammer Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-07-07
1225673999 Odaisa Igwe Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-16
1952945578 Julie Lorine Hoover Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-06
1285278648 Kate Harrell Unterberger Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-29
1780227082 Keegan Carly Fritzke Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-21
1578106860 Corinne Frohlick Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-20
1386287662 Aimee Breitfelder Reddy Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
Find all providers in zip 97227

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093294654 Elva Linda Pereida Pediatrics 107 Palisades, Portland, TX 78374-4144 2018-08-14
1699066647 Michael Zubrow Pediatrics 22 Bramhall St, Portland, ME 04102 2011-04-26
1487953154 Laura Amar-dolan Pediatrics 22 Bramhall St, Portland, ME 04102-3175 2011-03-21
1609179639 Shinpei Shibata Pediatrics 707 Sw Gaines St, Mail Code: Cdrcp, Portland, OR 97239-2901 2010-12-14
1437303443 Cydni Nicole Williams Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2008-11-05
1083863682 Pediatric Intensive Care Trauma Associates PC Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2008-09-18
1891976098 Kristine M Pleacher Pediatrics 22 Bramhall St, Portland, ME 04102 2007-11-16
1861607434 Amit Mehta Pediatrics 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 2007-05-14
1780692210 Miles Steven Ellenby Pediatrics 3181 Sw Sam Jackson Park Rd, Doernbecher Children's Hospital Pediatric Icu, Portland, OR 97239-3011 2006-08-03
1780699298 Aileen Lanette Kirby Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2006-07-31
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97227

Improve Information

Please comment or provide details below to improve the information on DR. CAROLYN F SHELAK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches