| Shelton Family Medicine Pllc | |
|
939 Mountain View Drive Ste 100 Shelton WA 98584-4410 | |
| (360) 426-2653 | |
| (360) 427-7086 |
| Full Name | Shelton Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 939 Mountain View Drive, Shelton, Washington |
| Authorized Official Name and Position | Debra Lee Lanman (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 3604262653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Family Medicine Pllc 939 Mountain View Drive Ste 100 Shelton WA 98584-4410 Ph: (360) 426-2653 | Shelton Family Medicine Pllc 939 Mountain View Drive Ste 100 Shelton WA 98584-4410 Ph: (360) 426-2653 |
| NPI Number | 1609092964 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609092964 | NPI | - | NPPES |
| G000247600 | Other | WA | MEDICARE ASSIGNED CLINIC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 601868919 (Washington) | Primary |
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