Individual
MR. DONALD ANDREW SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15100 SW KOLL PKWY, SUITE A, BEAVERTON, OR 97006-6026
(503) 290-6477
Mailing address
15100 SW KOLL PKWY, SUITE A, BEAVERTON, OR 97006-6026
(503) 290-6477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254442
KAISER
MD
01
—
357602
MHN
MD
05
—
407367300
—
MD
01
—
64529901
BCBS OF MD
MD
01
—
7734703
AETNA
MD
01
—
796986000
MAGELLAN
MD
01
—
A2840146
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
09/01/2011
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