JILL MARIE SHAW (NPI# 1770576340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770576340 |
| Entity Type | Individual |
| Full Name | JILL MARIE SHAW |
| Credential | D.O. |
| Practice Address |
6564 Se Lake Rd Ste 200 Milwaukie OR 97222-2237 |
| Practice Telephone | 5039085880 |
| Practice Fax Number | 8884758729 |
| Mailing Telephone | 5039085880 |
| Mailing Fax Number | 8884758729 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | DO25570 | OR | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
DO25570 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213528 | 05 | |
| MEDICARE PIN | 218071 | 01 | |
| WA | 1770576340 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5050 Ne Hoyt St Ste 362, Portland, OR 972132983 | 5032396800 | 5032390006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953721 | Jill Marie Shaw | Specialist | 1009 E. Eldorado St., Decatur, IL 62522-9023 | 2017-10-12 |
| 1083734727 | Jill Balla Shaw | Chiropractor | 38377 N Drexel Blvd, Antioch, IL 60002-9778 | 2007-03-29 |
| 1891239760 | Jill Shaw | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-12-13 |
| 1447529938 | Jill Shaw | Counselor | 181 Brackett St, Portland, ME 04102-3857 | 2011-12-29 |
| 1457508475 | Jill Marie Shaw | Nurse Practitioner | 356 W Cherry St, Ackerman, MS 39735-8709 | 2008-08-20 |
| 1790839355 | Jill Ann Shaw | Family Medicine | 1035 Placer St, Redding, CA 96001-1125 | 2007-01-22 |
| 1821020413 | Jill Davis Shaw | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2006-07-06 |
| Street Address |
6564 SE LAKE RD STE 200 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720196066 | Geoffrey E Baum | Orthopaedic Surgery | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 | 2006-08-28 |
| 1053307645 | Jerrold L Snow | Family Medicine | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1780021899 | Grapevine Womens Health and Gynecology, LLC | Obstetrics & Gynecology | 5880 Ne Cornell Rd Ste C, Hillsboro, OR 97124-9075 | 2013-05-30 |
| 1861717290 | Richard Malcolm Thorne | Obstetrics & Gynecology | 1295 Victoria Falls Dr, Redmond, OR 97756-8287 | 2010-03-29 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1477729754 | Lithia Women's Healthcare LLC | Obstetrics & Gynecology | 725 N. Main St., Ashland, OR 97520-1752 | 2008-05-06 |
| 1164695953 | Leonard Laskow | Obstetrics & Gynecology | 1939 Tamarack Pl, Ashland, OR 97520-3542 | 2008-04-11 |
| 1164600243 | Northwest Gynecology Associates,llc | Obstetrics & Gynecology | 4660 Ne Belknap Ct Ste 109, Hillsboro, OR 97124-8402 | 2008-01-31 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
| 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.