{"npi":"1902869639","type":"NPI-1","status":"active","name":{"display":"Dr. Shellie Josephs MD","other":[{"code":"1","type":"Formerly known as","value":"CRAIG, SHELLIE LIN"}],"first":"SHELLIE","last":"JOSEPHS","middle":"CRAIG","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"OR","license":"MD226278"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"TX","license":"J4245"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"CA","license":"C155476"},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":false,"state":"OR","license":"MD226278"}]},"addresses":[{"purpose":"LOCATION","street_1":"3181 SW SAM JACKSON PARK RD","city":"PORTLAND","state":"OR","postal_code":"972393011","country_code":"US","phone":"5034947660"},{"purpose":"MAILING","street_1":"3181 SW SAM JACKSON PARK RD","city":"PORTLAND","state":"OR","postal_code":"972393011","country_code":"US","phone":"5034947660"}],"license":{"state":"OR","number":"MD226278"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"132458407","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050419000950","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"TX","pac_id":"0042258261"},{"enrlmt_id":"I20250903002285","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"OR","pac_id":"0042258261"}]},"enumeration_date":"2006-04-12","last_updated":"2025-12-09","_meta":{"source":"NPPES","snapshot_date":"2025-12-09","doc_url":"https://findmynpi.com/api"}}