Organization Name: | JILL M SHAW, D.O., P.C. |
NPI Number: | 1215109111 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL M SHAW (PHYSICIAN/OWNER) |
Mailing Address: | 10000 Se Main St Suite 134 Portland |
State: | OR US |
Postal Code: | 972162448 |
Phone Number: | 5032525027 |
Fax Number: | 5035170629 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | DO25570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |