Karen Shaw ANP

NPI 1720278633 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1720278633
Gender Female
Enumeration Date 07/26/2007
Last Updated 05/05/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
831 NW COUNCIL DR
SUITE 300
GRESHAM OR, 97030-3721, US
Phone (503) 408-4078
Fax (503) 408-4077
Business Location
831 NW COUNCIL DR
SUITE 300
GRESHAM OR, 97030-3721, US
Phone (503) 408-4078
Fax (503) 408-4077
Toxanomy
Taxonomy Code 363LA2200X
License State Oregon
License Number 085074804N3
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According to our database, Karen Shaw ANP NPI is 1720278633, taxonomy code is 363LA2200X and license number is 085074804N3, license state is located at Oregon. Karen Shaw ANP physically located at 831 Nw Council Dr, Gresham OR, 97030-3721. NPI Number Karen Shaw ANP has the Individual type.

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1720278633 NPI number is provided on an as is basis without warranty of any kind. 1720278633 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Shaw ANP are for informational purposes only.