Dietrich J Shaw, | |
105 W 2nd St, #u, Yamhill, OR 97148-2204 | |
(503) 560-8881 | |
Not Available |
Full Name | Dietrich J Shaw |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 105 W 2nd St, Yamhill, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235577545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Dietrich J Shaw, Po Box 284, Yamhill, OR 97148-0284 Ph: (503) 560-8881 | Dietrich J Shaw, 105 W 2nd St, #u, Yamhill, OR 97148-2204 Ph: (503) 560-8881 |
Kristina M Hayward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E Main St, Yamhill, OR 97148 Phone: 503-852-7660 | |
Brian Micheal Denman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E 3rd St, Yamhill, OR 97148 Phone: 503-784-5869 |