Rebecca Shaw

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Talent, OR

NPI 1992636583 · NPPES record last updated May 25, 2026

Key facts

NPI
1992636583
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
315 Lithia Ave Unit a
Talent, OR 97540-9607
Phone
(530) 559-6802
NPI assigned
May 25, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

315 Lithia Ave Unit a
Talent, OR 97540-9607

Mailing address

315 Lithia Ave Unit a
Talent, OR 97540-9607
Phone (530) 559-6802

Other providers in Talent, OR

All providers in Talent, OR · Student in an Organized Health Care Education/Training Program in Oregon

Sources for this page

Verify at the official NPI Registry.