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

Samuel Shaw

Individual provider Counselor · NPI 1366240590

Samuel Shaw is a Counselor in Portland, Maine. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

75 Washington Ave Ste 2F
Portland, ME 04101-2665
Phone: (207) 274-1063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1366240590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address75 Washington Ave Ste 2f, Portland, ME 04101-2665

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