Individual provider · Type 1 NPI

Casey Lewis Shaw, PA-C

Surgical Physician Assistant · Salem, OR

NPI number 1184965253 Active

Practice location

1600 State St
Salem, OR 97301-4257

Fax (503) 540-6404

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA169608 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1184965253

Casey Lewis Shaw, PA-C's National Provider Identifier is 1184965253, issued on Mar 13, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salem, OR. The record was last updated on Oct 2, 2014.