Individual
DR. MATTHEW A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87983 TERRITORIAL RD, VENETA, OR 97487-8775
(541) 640-7625
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD181818
OR
Other
Enumeration date
09/01/2014
Last updated
01/24/2020
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