Individual
DR. ANDREA LYN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
143 THOMAS ST NW, OLYMPIA, WA 98502-5231
(360) 302-6285
(360) 368-3989
Mailing address
143 THOMAS ST NW, OLYMPIA, WA 98502-5231
(360) 302-6285
(360) 368-3989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215506
DEPT OF LABOR&INDUSTRIES
WA
Enumeration date
12/27/2006
Last updated
12/12/2019
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