KATHY TRAN SHAW

SALEM, OR
NPI1417273426
Former NameKATHY THI TRAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD169036)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  125-058841)
207Q00000X Family Medicine
(Licence: IL  036131795)
207Q00000X Family Medicine
(Licence: CA  A125476)
Enumeration Date2010-04-15
Last Update Date2014-10-29
Business Address
-- KATHY TRAN SHAW M.D.
3896 BEVERLY AVE NE BLDG J, SUITE 40
SALEM, OR 97305-1374
Phone number: 503-588-0076
Mailing Address
-- KATHY TRAN SHAW M.D.
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-865-2395