Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE DANIEL SHAW, D.O
Active Sole ProprietorJESSE DANIEL SHAW, D.O is a Sports Medicine healthcare provider located in PULLMAN, Washington. NPI 1912293572 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · PULLMAN, WA
Registration Details
- NPI Number
- 1912293572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2011 (15.151148275203 yrs)
- Last Updated
- Sep 29, 2025
- Licenses
-
O-1908 (ID)OP61106819 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
825 SE BISHOP BLVD STE 120PULLMAN, WA, 991635517Browse WA providers · Browse ZIP 99163
- Phone
- 5093322828
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in PULLMAN, WA
| Name | Credential | NPI |
|---|---|---|
| SHELLEY R RINGO | MD | 1316143886 |
| MICHAEL JOSEPH OSTERHOLT | MD | 1588283634 |
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.