Individual
DR. SHANNON LEE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12303 NE 130TH LN, SUITE 450, KIRKLAND, WA 98034-3099
(425) 899-5000
(425) 899-5006
Mailing address
12303 NE 130TH LN, SUITE 450, KIRKLAND, WA 98034-3099
(425) 899-5000
(425) 899-5006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51138020
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00033219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8182362
—
WA
Enumeration date
06/13/2005
Last updated
11/11/2020
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