Individual
MARIAN C SHINOBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00039754
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD22181
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130620
L & I
WA
05
—
8289845
—
WA
Enumeration date
04/11/2007
Last updated
05/14/2008
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