Individual
DR. JOHN PEARSON SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7717 SW 34TH AVE, PORTLAND, OR 97219-1725
(503) 246-2564
Mailing address
410 NW SKYLINE BLVD, PORTLAND, OR 97229-6810
(503) 297-1383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5993
OR
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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