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

Vivian June Shaw, CRM

Individual provider Prevention Professional · NPI 1205446663

Vivian June Shaw, CRM is a Prevention Professional in Pendleton, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

46314 Timine Way
Pendleton, OR 97801-9417
Phone: (541) 966-9830
Fax: (541) 240-8754
Show map & directions

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

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 20-CRM-179 (OR)

Record details

NPI number1205446663
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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