Kevin Shaw in Bend - Addiction (substance Use Disorder)
Kevin Shaw - NPI 1861699563
Kevin Shaw is a Addiction (substance Use Disorder) in Bend, Oregon. Kevin Shaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kevin Shaw is 1861699563. The last update date is 2013-11-25.
Kevin Shaw's current location address is 2577 Ne Courtney Dr, Bend, Oregon. You can contact this provider via phone number 5413227500 and fax number 5413227565. The mailing address for Kevin Shaw is 2577 Ne Courtney Dr, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Shaw |
|---|---|
| Address | 2577 Ne Courtney Dr, Bend, Oregon |
| Phone Number | 5413227500 |
| Fax Number | 5413227565 |
| Sole Proprietor | N |
| Credentials | LCSW, CADC |
NPI Number Detail
| NPI Number | 1861699563 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2013-11-25 |
Provider Mailing Address Detail
| Address | 2577 Ne Courtney Dr |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977010000 |
| Phone Number | 5413227500 |
| Fax Number | 5413227565 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12-06-101U3 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Kevin Shaw by the Centers for Medicare & Medicaid Services?
The Kevin Shaw has been issued the NPI (National Provider Identifier) 1861699563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin Shaw is physically located?
The Kevin Shaw is situated at the following address: 2577 Ne Courtney Dr, Bend, OR 977010000.
What is the area of specialization for Kevin Shaw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Shaw is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861699563 to Kevin Shaw?
The Centers for Medicare & Medicaid Services originally issued the 1861699563 to Kevin Shaw on 2007-06-27.
When was the information pertaining to Kevin Shaw most recently updated or revised?
The details related to Kevin Shaw, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-25.
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