Shaw, Duane

Shaw, Duane is an sole proprietor health care provider with primary practice located at 3987 Se Weigel St , Corvallis OR 97330-3569. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Shaw, Duane can be contacted via phone (541) 745-8107.

Contact Information

Primary practice address
3987 Se Weigel St Corvallis OR 97330-3569
Phone: (541) 745-8107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 013278 Oregon
Pharmacy Service Providers / Pharmacist 183500000X 013278 Oregon

Profile Details

NPI number 1265782379
LBN Legal business name Shaw, Duane
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2012
Last updated Jul 28th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265782379 NPPES
Oregon MEDICAID 1265782379
Oregon Other RPH-0013278

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