Individual
DANIEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16885 SE CARMEL CT, MILWAUKIE, OR 97267-5561
(540) 446-9999
Mailing address
16885 SE CARMEL CT, MILWAUKIE, OR 97267-5561
(540) 446-9999
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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