Organization
SHINE FUNCTIONAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN ALICIA DEBELL MD (OWNER)
(206) 734-8370
Entity
Organization
Contact information
Practice address
1633 BELLEVUE AVE STE A, SEATTLE, WA 98122-6820
(206) 734-8370
(206) 237-0773
Mailing address
1700 7TH AVE STE 116, PMB #300, SEATTLE, WA 98101-1323
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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