Individual
MS. MARY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-3000
(360) 313-3001
Mailing address
3610 SE GRANT CT, PORTLAND, OR 97214-5838
(503) 231-7515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60321373
WA
Other
Enumeration date
09/11/2012
Last updated
05/08/2013
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