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Individual
SHARI C ENGSTROM
Active
Individual
SHARI C ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G063415
CA
207P00000X
Emergency Medicine Physician
Primary
MD00035912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227516
LIWA
WA
01
—
1451EN
BSWA
WA
01
—
184574
WA L & I
—
01
—
605960013
USDLAB
WA
05
—
8228744
—
WA
01
—
8938314
CRIME VICTIM
—
01
—
WI0879
REGENCE BS
—
Enumeration date
06/20/2006
Last updated
06/17/2008
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