Individual
MEGAN BREANNE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21911 76TH AVE W STE 110, EDMONDS, WA 98026-7918
(425) 640-4950
(425) 640-4958
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61566172
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2220068
—
WA
Enumeration date
08/08/2018
Last updated
02/27/2026
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