Shaw, Kevin
Shaw, Kevin is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7638. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shaw, Kevin can be contacted via phone (541) 322-7500.Contact Information
Primary practice address
2577 Ne Courtney Dr
Bend OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12-06-101U3 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4658 | Oregon |
Profile Details
| NPI number | 1861699563 |
|---|---|
| LBN Legal business name | Shaw, Kevin |
| Credentials | LCSW, CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Nov 25th, 2013 - about 13 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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