Shaw-Scala, Cecily Helen

Shaw-Scala, Cecily Helen is an individual health care provider with primary practice located at 555 Black Oak Dr , Medford OR 97504-8447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shaw-Scala, Cecily Helen can be contacted via phone (541) 789-2273.

Contact Information

Primary practice address
555 Black Oak Dr Medford OR 97504-8447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 418864 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200250002NP-PP Oregon

Profile Details

NPI number 1447235585
LBN Legal business name Shaw-Scala, Cecily Helen
Credentials FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 31st, 2019 - 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 1447235585 NPPES
Other NP0077740 MEDICAL

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