IndividualActive
Casey Shaw, PA-C
NPI 1184965253 · Surgical Physician Assistant · Salem, OR
Provider details
- NPI number
- 1184965253
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA169608 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 State St
Salem, OR 97301-4257
Phone: (503) 540-6300
Fax: (503) 540-6404
Approximate (ZIP-level) locationGet directions
Mailing address
1600 State St
Salem, OR 97301-4257
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.