Individual
CRAIG E SHAMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3021 NE 72ND DR STE 9-316, VANCOUVER, WA 98661-7300
(360) 513-1233
(360) 906-0633
Mailing address
3021 NE 72ND DR STE 9-316, VANCOUVER, WA 98661-7300
(360) 513-1233
(360) 906-0633
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23785
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00022812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122589
—
WA
Enumeration date
09/20/2006
Last updated
07/21/2022
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