Individual
DR. JANINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4280 MERIDIAN ST STE 110, BELLINGHAM, WA 98226-6464
(360) 788-7733
(360) 676-7471
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174628838
NPI
WA
05
—
8124661
—
WA
01
—
MD00026941
WASHINGTON STATE LICENSE #
WA
Enumeration date
09/14/2006
Last updated
03/18/2022
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