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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE DANIEL SHAW, D.O

Active Sole Proprietor

JESSE 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 120
PULLMAN, WA, 991635517
Browse 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.