MR. Casey Lewis Shaw, PA-C

NPI #1184965253 in Salem, Oregon

Provider Information

NPI Number
1184965253
Entity Type
Individual
Name
MR. Casey Lewis Shaw, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Mar 13, 2013
Last Updated
Oct 2, 2014

Practice Location

Address
1600 STATE ST
City
Salem
State
Oregon
ZIP Code
97301-4257
Phone
(503) 540-6300

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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