DIETRICH J SHAW (NPI# 1235577545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235577545 |
| Entity Type | Individual |
| Full Name | DIETRICH J SHAW |
| Practice Address |
105 W 2nd St #u Yamhill OR 97148-2204 |
| Mailing Address |
Po Box 284 Yamhill OR 97148-0284 |
| Practice Telephone | 5035608881 |
| Mailing Telephone | 5035608881 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
105 W 2ND ST #U |
| City | YAMHILL |
| State | OR |
| Zip Code | 97148-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588095707 | Julie Belt | Massage Therapist | 150 S. Maple, Yamhill, OR 97148 | 2013-12-13 |
| 1487704219 | Yamhill Carlton School District | Local Education Agency (LEA) | 120 N. Larch Place, Yamhill, OR 97148 | 2007-01-12 |
| 1124390430 | April Baker | Physical Therapist | 110 South Maple Street, Yamhill, OR 97148-0203 | 2012-02-01 |
| 1629332333 | Verdura Family Wellness, Inc | Clinic/Center | 120 Larch Pl, Yamhill, OR 97148-2007 | 2012-06-27 |
| 1801255328 | Yc Sbhc | Nurse Practitioner | 120 Larch Pl, Yamhill, OR 97148-2007 | 2016-02-11 |
| 1922436880 | Nathan Garrettson | Acupuncturist | 150 S Maple St, Yamhill, OR 97148-2011 | 2013-10-30 |
| 1861041493 | Kelie Michelle Coxen | Doula | 7865 Nw Moores Valley Rd, Yamhill, OR 97148-8007 | 2019-09-06 |
| 1093184905 | Sarah Snyder | Registered Nurse | 17006 Nw Oak Ridge Rd, Yamhill, OR 97148-8119 | 2015-09-21 |
| 1528407434 | Roberta Ann Fort | Physical Therapist | 8881 Nw Pike Rd, Yamhill, OR 97148-8208 | 2013-06-24 |
| 1205139987 | Albert Xthona | Technician, Other | 5200 Nw Mcloughlin Dr, Yamhill, OR 97148-8353 | 2010-12-17 |
| Find all providers in zip 97148 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1225637671 | Lisa Sturdivant | Counselor | 17321 Sw Woodhaven Dr, Sherwood, OR 97140-8225 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.