CASEY LEWIS SHAW

SALEM, OR
NPI1184965253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA169608)
Enumeration Date2013-03-13
Last Update Date2014-10-02
Business Address
Mr. CASEY LEWIS SHAW PA-C
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
Mailing Address
Mr. CASEY LEWIS SHAW PA-C
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
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