# JILL M SHAW, D.O., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215109111
- **Authorized official:** DR. JILL M SHAW D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (503) 252-5027

## Contact information

- **Practice address:** 10000 SE MAIN ST, SUITE 134, PORTLAND, OR 97216-2448
- **Practice address phone:** (503) 252-5027
- **Practice address fax:** (503) 517-0629
- **Mailing address:** 10000 SE MAIN ST, SUITE 134, PORTLAND, OR 97216-2448
- **Mailing address phone:** (503) 252-5027
- **Mailing address fax:** (503) 517-0629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | DO25570 | OR | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 11/03/2010