person
Mr. Casey Lewis Shaw, PA-C
Surgical Physician Assistant in Salem, Oregon
NPI 1184965253

Casey Lewis Shaw is a Surgical Physician Assistant based in Salem, OR and is specialized in Surgical. Casey Lewis Shaw practices in Salem, OR and has the professional credentials of PA-C. The NPI Number for Casey Lewis Shaw is 1184965253 and holds a License No. PA169608 (Oregon).

The current practice location address for Casey Lewis Shaw is 1600 State St, Salem, OR and can be reached out via phone at 503-540-6300 and via fax at 503-540-6404.

Location: 1600 State St, Salem, OR, 97301-4257
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Provider Profile Details
NPI Number
1184965253
Provider Name
Casey Lewis Shaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1600 State St, Salem, OR, 97301-4257
Phone Number
503-540-6300
Fax Number
503-540-6404
Provider Enumeration Date
03/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA169608 01 OR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1600 State St
City
State
Zip
97301-4257
Phone Number
503-540-6300
Fax Number
503-540-6404
person
Provider Business Mailing Address Details
Address
1600 State St
City
State
Zip
97301-4257
Phone Number
503-540-6300
Fax Number
503-540-6404
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA169608 (Oregon)
Definition
Definition to come...
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