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Individual

MRS. KAREN E SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
13400 NE 20TH ST STE 8, BELLEVUE, WA 98005-2026
(425) 641-2822
(866) 922-2457
Mailing address
13400 NE 20TH ST STE#8, BELLEVUE, WA 98005
(425) 641-2822
(866) 922-2457

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003597
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0126295
LABOR & INDUSTRIES
WA
01
192264900
FEDERAL WORKER'S COMP
05
8423329
WA
01
SH7831
REGENCE BLUE SHIELD
Enumeration date
08/24/2005
Last updated
05/10/2012
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