Individual
DR. DAVID ALLEN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
516 S.E. MORRISON ST, SUITE 530, PORTLAND, OR 97214-2346
(503) 644-0152
Mailing address
516 S.E. MORRISON ST., SUITE 530, PORTLAND, OR 97214-2346
(503) 644-0152
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
381
OR
Other
Enumeration date
12/11/2006
Last updated
10/15/2011
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