SearchWashington156FX1800X

Robert Shaw, LDO, CPOT

NPI 1710160726 · on the registry since 2007 · sole proprietor

Practice

Address
13504 Ne 84th St # 103255
Vancouver, WA 98682
Phone
(509) 969-3308

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FX1202X
156FC0801X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-19

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 Washington