Individual
DEAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 344-3090
(360) 344-3089
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005046
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8462178
—
WA
01
—
P00406337
RAILROAD MEDICARE
—
Enumeration date
08/19/2006
Last updated
03/15/2019
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