Phillip Andrew Shaw
Sports Medicine
12911 120th Ave Ne Ste C50
Kirkland
, Washington 98034-3080
Phillip Andrew Shaw
Sports Medicine
12911 120th Ave Ne Ste C50
Kirkland
, Washington 98034-3080
(425) 899-3235
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Phillip Andrew Shaw
- 12911 120th Ave Ne Ste C50
- Kirkland, WA
- Zip : 98034-3080
- Fax : (425) 899-3235
- Phone : (425) 899-3234
Second Address
- Phillip Andrew Shaw
- 12911 120th Ave Ne Ste C50
- Kirkland, WA
- Zip : 98034-3080
- Phone : (425) 899-3234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PO60640602 | WA |
| Y | 213ES0000X | Sports Medicine | PO60640602 | WA |
National Provider Identifier
| NPI | 1447593256 |
|---|---|
| Provider Name | Phillip Andrew Shaw |
| First Address | Kirkland, WA 98034-3080 |
| Second Address | Kirkland, WA 98034-3080 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2013 |
| Last Update Date | 27/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.