Organization
JILL M SHAW, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M SHAW D.O. (PHYSICIAN/OWNER)
(503) 252-5027
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST, SUITE 134, PORTLAND, OR 97216-2448
(503) 252-5027
(503) 517-0629
Mailing address
10000 SE MAIN ST, SUITE 134, PORTLAND, OR 97216-2448
(503) 252-5027
(503) 517-0629
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO25570
OR
Other
Enumeration date
03/31/2008
Last updated
11/03/2010
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