Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL MARIE SHAW, D.O.
ActiveJILL MARIE SHAW, D.O. is a Gynecology healthcare provider located in MILWAUKIE, Oregon. NPI 1770576340 is currently active in the NPPES registry. Verify at CMS.
Gynecology · MILWAUKIE, OR
Registration Details
- NPI Number
- 1770576340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2005 (20.771539713715 yrs)
- Last Updated
- May 18, 2020
- Licenses
-
DO25570 (OR)DO25570 (OR)
Practice Information
- Address
-
6564 SE LAKE RD STE 200MILWAUKIE, OR, 972222237Browse OR providers · Browse ZIP 97222
- Phone
- 5039085880
- Fax
- 8884758729
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Gynecology
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.