Vivian June Shaw, CRM

NPI #1205446663 in Pendleton, Oregon

Provider Information

NPI Number: 1205446663
Entity Type: Individual
Name: Vivian June Shaw, CRM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prevention Professional
Credential: CRM
Enumeration Date: Jul 31, 2020
Last Updated: Jul 31, 2020

Practice Location

Address: 46314 TIMINE WAY
City: Pendleton
State: Oregon
ZIP Code: 97801-9417
Phone: (541) 966-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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