Individual
KEVIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC III
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-0000
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12-06-101U3
OR
1041C0700X
Clinical Social Worker
Primary
4658
OR
Other
Enumeration date
06/27/2007
Last updated
11/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us