Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tatyana Evgenieva Shaw, MD

Individual provider Dermatology Physician · NPI 1578762068

Dr. Tatyana Evgenieva Shaw, MD is a Dermatology in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2005, 21 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1414 NW Northrup St Ste 600
Portland, OR 97209-2790
Phone: (503) 223-3104
Fax: (503) 223-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD29239 (OR)

Record details

NPI number1578762068
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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