Individual
MARY SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 256-0556
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OR MD 15286
OR
207R00000X
Internal Medicine Physician
Primary
WA MD00026600
WA
Other
Enumeration date
08/24/2006
Last updated
07/12/2007
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