Shaw, Lian R

Shaw, Lian R is an individual health care provider with primary practice located at 1003 Providence Dr Suite 325, Newberg OR 97132-7521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shaw, Lian R can be contacted via phone (503) 216-2188.

Contact Information

Primary practice address
1003 Providence Dr Suite 325 Newberg OR 97132-7521
Phone: (503) 216-2188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD159774 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD0043124 Washington

Profile Details

NPI number 1154379576
LBN Legal business name Shaw, Lian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 6th, 2020 - about 5 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 1154379576 NPPES
Washington MEDICAID 8390684

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