Individual
SHANE J VAN CAPELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CG
Contact information
Practice address
4120 MERIDIAN ST, BELLINGHAM, WA 98226-6471
(360) 922-3030
Mailing address
6395 PORTAL WAY, FERNDALE, WA 98248-8316
(832) 715-6067
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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