Individual
MICHELLE ROSEANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 449-3964
Mailing address
PO BOX 28122, PORTLAND, OR 97228-8122
(503) 449-3964
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD152189
OR
Other
Enumeration date
06/08/2007
Last updated
09/18/2020
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