Provider Demographics
NPI:1124432273
Name:SHELTON, JUSTIN ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ALAN
Last Name:SHELTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:10100 SE SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8970
Mailing Address - Country:US
Mailing Address - Phone:503-571-2946
Mailing Address - Fax:503-571-2683
Practice Address - Street 1:10100 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-571-2946
Practice Address - Fax:503-571-2683
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2025-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORDO187426207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology