Individual
DR. DAVID PRESTON SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
470 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-0654
(425) 392-8979
Mailing address
PO BOX 5202, KENT, WA 98064-5202
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00031334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037710
L & I NUMBER
WA
05
—
1086719
—
WA
Enumeration date
12/22/2006
Last updated
07/10/2012
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