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Organization
OREGON REGENERATION STEM CELL MEDICAL CENTER, LLC
Active
Organization
OREGON REGENERATION STEM CELL MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN SHAW DC (OWNER)
(614) 507-7799
Entity
Organization
Contact information
Practice address
29781 SW TOWN CENTER LOOP, WILSONVILLE, OR 97070
(971) 533-6636
(740) 450-2494
Mailing address
29781 SW TOWN CENTER LOOP, WILSONVILLE, OR 97070
(971) 313-4195
(740) 450-2494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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