Shelly Clevidence, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1516 Issued in OR

Practice address

3021 SE Division St
Portland, OR 97202-1476

Phone

(503) 319-1901

NPI assigned

Oct 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1386833879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 SE TOLMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066932",
            "telephone_number": "503-319-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021476",
            "telephone_number": "503-319-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVIDENCE",
        "first_name": "SHELLY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Cleveland
• Minot Cleveland, MD
• Jeffrey C Cleven, MD
• Laura Clevenger, ND
• Genevieve Cleverley
• Julia Carole Clevinger
• James Philip Clifford
• Kimberly M. Clifford, PA-C
• Luke C Clifford, DO
• Lauren Clift

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.