Individual
TANIA M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
241929
NY
207P00000X
Emergency Medicine Physician
A81567
CA
207P00000X
Emergency Medicine Physician
Primary
MD27773
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A815670
—
CA
Enumeration date
06/09/2006
Last updated
08/29/2025
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