Individual
SHANE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
10735 EVANSTON AVE N, SEATTLE, WA 98133-8837
(206) 883-7420
Mailing address
10735 EVANSTON AVE N, SEATTLE, WA 98133-8837
(206) 883-7420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG61278554
AAC
WA
Enumeration date
01/24/2023
Last updated
01/24/2023
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