Individual
DR. ELAINE YILIN SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21600 HIGHWAY 99 STE 230, EDMONDS, WA 98026-8048
(206) 215-4250
(206) 215-4252
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018032440
MO
207RG0100X
Gastroenterology Physician
Primary
MD61442081
WA
208M00000X
Hospitalist Physician
2018032440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263332
—
WA
Enumeration date
06/15/2016
Last updated
12/14/2023
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