Jill M Shaw, D.o., P.c.

NPI #1215109111 in Portland, Oregon

Provider Information

NPI Number: 1215109111
Entity Type: Organization
Organization Name: Jill M Shaw, D.o., P.c.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 31, 2008
Last Updated: Nov 3, 2010

Practice Location

Address: 10000 SE MAIN ST
Address 2: SUITE 134
City: Portland
State: Oregon
ZIP Code: 97216-2448
Phone: (503) 252-5027

Authorized Official

Name: DR. JILL M SHAW, D.O.
Title: PHYSICIAN/OWNER
Phone: (503) 252-5027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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