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Individual

DR. JASON SHATTUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 N EMERSON AVE, WENATCHEE, WA 98801-2032
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60079338
WA
208000000X
Pediatrics Physician
MD60079338
WA
208M00000X
Hospitalist Physician
4301085949
MI
208M00000X
Hospitalist Physician
Primary
MD60079338
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0251500
L&I
WA
05
1255541371
WA
01
P01256392
RR MEDICARE
WA
Enumeration date
05/24/2007
Last updated
11/10/2025
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