NPI 1215109111

Jill M Shaw, D.O., P.C.

Organisation Obstetrics & Gynecology Physician Portland, OR

Practice location

Address: 10000 SE Main St Suite 134, Portland, OR 97216-2448
Phone: (503) 252-5027
Fax: (503) 517-0629

Authorised official

Name: Jill M Shaw
Title: Physician/Owner
Phone: (503) 252-5027

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence DO25570 (OR)

Other Obstetrics & Gynecology providers in Oregon →

Registry record

NPI: 1215109111
Entity type: Organization
NPI issued: 31 Mar 2008
Record last updated: 3 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.