Active NPI
Richard Scott Shaw, D.MFT
- Marriage & Family Therapist
- Wilsonville, OR
National Provider Identifier
1114003407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 30250 SW Parkway Ave
Wilsonville, OR 97070-9757 - Phone
- (503) 348-8784
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA | ||
| Marriage & Family Therapist | 106H00000X | OR | Primary |
Addresses
Primary practice location
30250 SW Parkway Ave
Wilsonville, OR 97070-9757
Mailing address
PO Box 1681
Wilsonville, OR 97070-1681
Phone (503) 348-8784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1114003407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970701681",
"telephone_number": "503-348-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30250 SW PARKWAY AVE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709757",
"telephone_number": "503-348-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.