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Crystal Shaw
NPI 1669185047 · on the registry since 2023 · sole proprietor
Practice
- Address
- 312 S Grape St
Medford, OR 97501 - Phone
- (541) 261-8625
- Organisation at this address
- Grape Street Massage Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon