Dereck Desmond Shaw, L.AC.
NPI #1124863857 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1124863857
- Entity Type
- Individual
- Name
- Dereck Desmond Shaw, L.AC.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- L.AC.
- Enumeration Date
- Jun 25, 2024
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 910 NE D ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-2325
- Phone
- (541) 476-4611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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