# SHELBY NATUROPATHY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922359546
- **Authorized official:** DR. TARA JOHNIE SHELBY ND, LM (CEO MEDICAL DIRECTOR)
- **Authorized official phone:** (206) 919-0175

## Contact information

- **Practice address:** 5600 14TH AVE NW, SEATTLE, WA 98107-3723
- **Practice address phone:** (206) 919-0175
- **Practice address fax:** (206) 567-9797
- **Mailing address:** 5600 14TH AVE NW STE 1, SEATTLE, WA 98107-3723
- **Mailing address phone:** (206) 919-0175
- **Mailing address fax:** (206) 567-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 9999999 | WA | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 07/21/2020
