Shaw, Casey Lewis
Shaw, Casey Lewis is an individual health care provider with primary practice located at 1600 State St , Salem OR 97301-4257. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shaw, Casey Lewis can be contacted via phone (503) 540-6300.Contact Information
Primary practice address
1600 State St
Salem OR 97301-4257
Phone: (503) 540-6300
Fax: (503) 540-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA169608 | Oregon |
Profile Details
| NPI number | 1184965253 |
|---|---|
| LBN Legal business name | Shaw, Casey Lewis |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2013 |
| Last updated | Oct 2nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184965253 | NPPES |
| Oregon | Other | PA169608 | MEDICAL LICENSE |
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