Individual
SHANE JAY TOSIHIRO RUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3074
(206) 744-8546
Mailing address
PO BOX 359702, 325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3074
(206) 744-8546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60206164
WA
Other
Enumeration date
06/01/2007
Last updated
06/03/2011
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