SHELTON FAMILY MEDICINE PLLC NPI 1609092964

NPI Information

NPI: 1609092964
Provider Name: SHELTON FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
939 MOUNTAIN VIEW DRIVE
STE 100
SHELTON, WA
ZIP 98584
Phone: (360) 426-2653
Get Directions

SHELTON FAMILY MEDICINE PLLC is a family medicine in Shelton, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHELTON FAMILY MEDICINE PLLC NPI is 1609092964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

939 MOUNTAIN VIEW DRIVE
STE 100
SHELTON, WA
ZIP 98584-410
Phone: (360) 426-2653
Fax: (360) 427-7086

The provider's authorized official is Debra Lee Lanman .
The authorized official title is Assistant Office Manager and has the following contact phone number (360) 426-2653.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 10/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		601868919	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G000247600	OTHER	WASHINGTON	MEDICARE ASSIGNED CLINIC NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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