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Organization
VILLAGE INTEGRATIVE CARE, P.S.
Active
Organization
VILLAGE INTEGRATIVE CARE, P.S.
Active
Parent organization
VILLAGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE
Authorized official
DR. TARA JOHNIE SHELBY ND LM (EXECUTIVE DIRECTOR)
(205) 363-5555
Entity
Organization
Contact information
Practice address
6300 9TH AVE NE STE 300, SEATTLE, WA 98115-8516
(206) 363-5555
(206) 363-5533
Mailing address
6300 9TH AVE NE STE 300, SEATTLE, WA 98115-8516
(206) 363-5555
(206) 363-5533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/29/2011
Last updated
11/22/2011
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