Individual
ANDREW SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1436 NW BENTON ST, CAMAS, WA 98607-1542
(240) 217-5538
Mailing address
2501 NE 138TH AVE APT 53, VANCOUVER, WA 98684-7290
(360) 713-8283
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60594167
WA
225700000X
Massage Therapist
Primary
MA60594167
WA
Other
Enumeration date
10/04/2016
Last updated
01/27/2026
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