Individual
ENOCH D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 COMMERCIAL ST SE, STE 201, SALEM, OR 97302-4495
(503) 480-0485
(503) 480-0486
Mailing address
2720 COMMERCIAL ST SE, STE 201, SALEM, OR 97302-4495
(503) 480-0485
(503) 480-0486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD08663
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004887
—
OR
Enumeration date
10/16/2006
Last updated
02/27/2014
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