Individual
MRS. CECILY HELEN SHAW-SCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Contact information
Practice address
555 BLACK OAK DR, MEDFORD, OR 97504-8447
(541) 789-2273
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-8176
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250002NP-PP
OR
363LF0000X
Family Nurse Practitioner
418864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0077740
MEDICAL
—
Enumeration date
12/13/2005
Last updated
07/31/2019
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