Organization
DANA SHAW MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SHAW MD (OWNER)
(425) 392-0610
Entity
Organization
Contact information
Practice address
470 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-0610
(425) 392-8979
Mailing address
PO BOX 5202, KENT, WA 98064-5202
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00031400
WA
Other
Enumeration date
12/01/2008
Last updated
04/09/2019
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