Organization
OREGON REGENERATION STEM CELL MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN SHAW DC (OWNER)
(614) 507-7799
Entity
Organization
Contact information
Practice address
29781 SW TOWN CENTER LOOP, WILSONVILLE, OR 97070
(971) 533-6636
(740) 450-2494
Mailing address
29781 SW TOWN CENTER LOOP, WILSONVILLE, OR 97070
(971) 313-4195
(740) 450-2494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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