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Dietrich J Shaw
Mental Health Counselor in Yamhill, Oregon
NPI 1235577545

Dietrich J Shaw is a Mental Health Counselor based in Yamhill, OR and is specialized in Mental Health. Dietrich J Shaw practices in Yamhill, OR. The NPI Number for Dietrich J Shaw is 1235577545 and holds a License No. (Oregon).

The current practice location address for Dietrich J Shaw is 105 W 2Nd St, Yamhill, OR and can be reached out via phone at 503-560-8881.

Location: 105 W 2Nd St, Yamhill, OR, 97148-0284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235577545
Provider Name
Dietrich J Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 W 2Nd St, Yamhill, OR, 97148-0284
Phone Number
503-560-8881
Fax Number
Provider Enumeration Date
06/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 W 2Nd St
City
Yamhill
State
Oregon
Zip
97148-2204
Phone Number
503-560-8881
Fax Number
person
Provider Business Mailing Address Details
Address
105 W 2Nd St
City
Yamhill
State
Oregon
Zip
97148-2204
Phone Number
503-560-8881
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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