Provider Demographics
NPI:1134018765
Name:SHAW, AMANDA (RRT, ACCS)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SHAW
Suffix:
Gender:F
Credentials:RRT, ACCS
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:K
Other - Last Name:VALDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT, ACCS
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:RESPIRATORY THERAPY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2499
Mailing Address - Country:US
Mailing Address - Phone:206-744-3000
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:RESPIRATORY THERAPY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR613552892279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care