Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVIAN JUNE SHAW, CRM
ActiveVIVIAN JUNE SHAW, CRM is a 405300000X healthcare provider located in PENDLETON, Oregon. NPI 1205446663 is currently active in the NPPES registry. Verify at CMS.
405300000X · PENDLETON, OR
Registration Details
- NPI Number
- 1205446663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2020 (6.013304165095 yrs)
- Last Updated
- Jul 31, 2020
- License
-
20-CRM-179 (OR)
Practice Information
- Address
-
46314 TIMINE WAYPENDLETON, OR, 978019417Browse OR providers · Browse ZIP 97801
- Phone
- 5419669830
- Fax
- 5412408754
- Primary Specialty
-
405300000X
405300000X
Other 405300000X Providers in PENDLETON, OR
| Name | Credential | NPI |
|---|---|---|
| GLAVIS M WAGNER | — | 1720587553 |
| ABELARDO LOZANO | CRM | 1750864229 |
| RACHEL MARIE HOPTOWIT | CRM | 1629687876 |
| NICOLE GRACE WHISKEYJACK | CRM | 1841809134 |
| LEEANN MASHAUNA SMITH | CRM | 1508459579 |
| MS. SARAH JEAN FRANK | — | 1205411444 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.