Individual
PAULA SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2611 NE 125TH STREET, SUITE 201, SEATTLE, WA 98125
(206) 985-8371
(206) 306-7447
Mailing address
2611 NE 125TH STREET, SUITE 201, SEATTLE, WA 98125
(206) 985-8371
(206) 306-7447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD000027605
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113653
—
WA
01
—
SH6118
REGENCE RIDER NUMBER
WA
Enumeration date
10/02/2006
Last updated
05/01/2015
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