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Jill Marie Shaw, DO
Gynecology Physician in Milwaukie, Oregon
NPI 1770576340

Jill Marie Shaw is a Gynecology Physician based in Milwaukie, OR and is specialized in Gynecology. Jill Marie Shaw practices in Milwaukie, OR and has the professional credentials of DO. The NPI Number for Jill Marie Shaw is 1770576340 and holds a License No. DO25570 (Oregon).

The current practice location address for Jill Marie Shaw is 6564 Se Lake Rd Ste 200, Milwaukie, OR and can be reached out via phone at 503-908-5880 and via fax at 888-475-8729.

Location: 6564 Se Lake Rd Ste 200, Milwaukie, OR, 97222-2237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770576340
Provider Name
Jill Marie Shaw
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6564 Se Lake Rd Ste 200, Milwaukie, OR, 97222-2237
Phone Number
503-908-5880
Fax Number
888-475-8729
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218071 01 MEDICARE PIN
213528 05 OR
1770576340 05 WA
institution
Provider Business Practice Location Address Details
Address
6564 Se Lake Rd Ste 200
City
Milwaukie
State
Oregon
Zip
97222-2237
Phone Number
503-908-5880
Fax Number
888-475-8729
person
Provider Business Mailing Address Details
Address
6564 Se Lake Rd Ste 200
City
Milwaukie
State
Oregon
Zip
97222-2237
Phone Number
503-908-5880
Fax Number
888-475-8729
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
DO25570 (Oregon)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
DO25570 (Oregon)
Definition
Definition to come...
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