Jill M Shaw, D.O., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DO25570 Issued in OR

Legal business name

JILL M SHAW, D.O., P.C.

Practice address

10000 SE Main St
Suite 134
Portland, OR 97216-2448

Phone

(503) 252-5027

Fax

(503) 517-0629

NPI assigned

Mar 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jill M Shaw, D.O.

Title

Physician/Owner

Phone

(503) 252-5027

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1215109111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-252-5027",
            "fax_number": "503-517-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-252-5027",
            "fax_number": "503-517-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL M SHAW, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-252-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO25570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Da David Jiang, M.D.
• Jerry Peng Jiang
• Nidal Jianni, QMHA-R
• Susie S Jiing, PHARMD
• Jill E. Hauben, LCSW, LLC
• Jill Shealy Counseling LLC
• Jennifer Ann Jim
• Jessenia Jimenez Pena, DOULA
• Cielo Jimenez-Garcia
• Adolfo Jimenez, LCSW/CADC-R

• Obstetrics & Gynecology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.