Individual
AMANDA KAY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60292495
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013147875
—
WA
Enumeration date
07/15/2009
Last updated
07/17/2015
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