Individual provider · Type 1 NPI

Marrisa L. Shaw

Student in an Organized Health Care Education/Training Program · Port Townsend, WA

NPI number 1740825819 Active

Practice location

884 W Park Ave
Port Townsend, WA 98368-2273

Call (360) 385-0321 Map

Mailing address

PO Box 565
Port Townsend, WA 98368-0565

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO60925720 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740825819

Marrisa L. Shaw's National Provider Identifier is 1740825819, issued on Nov 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Townsend, WA. The record was last updated on Nov 13, 2019.