IndividualActive
Phillip Shaw, DPM
NPI 1447593256 · Sports Medicine Podiatrist · Everett, WA
Provider details
- NPI number
- 1447593256
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- PO60640602 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3802 Broadway Ste B
Everett, WA 98201-5032
Phone: (425) 259-0855
Approximate (ZIP-level) locationGet directions
Mailing address
12911 120th Ave Ne Ste C50
Kirkland, WA 98034-3080
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.