Individual
JONATHAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1755 COBURG RD UNIT 301, EUGENE, OR 97401-4900
(888) 468-9669
(541) 632-4858
Mailing address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(888) 985-4287
(541) 632-4858
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202108944NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
47689
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
836571
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95017588
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61160807
WA
Other
Enumeration date
02/20/2020
Last updated
01/30/2025
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