Donald Andrew Shaw in Beaverton - Clinical

Donald Andrew Shaw - NPI 1780696005

Donald Andrew Shaw is a Clinical in Beaverton, Oregon. Donald Andrew Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donald Andrew Shaw is 1780696005. The last update date is 2011-09-01.

Donald Andrew Shaw's current location address is 15100 Sw Koll Pkwy, Beaverton, Oregon. You can contact this provider via phone number 5032906477. The mailing address for Donald Andrew Shaw is 15100 Sw Koll Pkwy, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Andrew Shaw
Address 15100 Sw Koll Pkwy, Beaverton, Oregon
Phone Number 5032906477
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1780696005
Provider Enumeration Date 2006-08-13
Last Updated Date 2011-09-01

Provider Mailing Address Detail

Address 15100 Sw Koll Pkwy
City Beaverton
State Oregon (OR)
Post Code 970066026
Phone Number 5032906477
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No L4086
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
357602 MD MHN
7734703 MD AETNA
407367300 MD --
A2840146 DC BCBS OF DC
64529901 MD BCBS OF MD
796986000 MD MAGELLAN
254442 MD KAISER

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FAQs about Donald Andrew Shaw

What is the unique provider identifier assigned to Donald Andrew Shaw?

The Donald Andrew Shaw has been issued the NPI (National Provider Identifier) 1780696005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Donald Andrew Shaw located?

The Donald Andrew Shaw is located at 15100 Sw Koll Pkwy, Beaverton, OR 970066026.

What is Donald Andrew Shaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Donald Andrew Shaw is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date was the 1780696005 assigned to Donald Andrew Shaw?

The Donald Andrew Shaw was issued its 1780696005 on 2006-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Donald Andrew Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Donald Andrew Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-01.

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