| Michelle Roseann Shaw, MD | |
|
1500 Division St, Oregon City, OR 97045-1527 | |
| (503) 449-3964 | |
| Not Available |
| Full Name | Michelle Roseann Shaw |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1500 Division St, Oregon City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932302759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD152189 (Oregon) | Primary |
| Entity Name | Emergency Medicine Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851434815 PECOS PAC ID: 4486753639 Enrollment ID: O20070628000380 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Roseann Shaw, MD Po Box 28122, Portland, OR 97228-8122 Ph: (503) 449-3964 | Michelle Roseann Shaw, MD 1500 Division St, Oregon City, OR 97045-1527 Ph: (503) 449-3964 |
Dr. Samuel Polen Freedman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-657-6742 | |
Dr. David James Lindquist, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-657-8440 | |
Rebecca Duby, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Megan Panapa, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Yo Herman Atteberry, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-657-6742 | |
Dr. Lowan Stewart, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-657-6742 | |
Jonathan Peter Yarris, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 |