Individual
SEAN MICHAEL SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
Mailing address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60111493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003995
—
WA
Enumeration date
09/29/2009
Last updated
12/09/2020
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