Individual
SHANNON CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 W COMMODORE WAY UNIT 100, SEATTLE, WA 98199-1287
(206) 590-0394
Mailing address
9500 OSUNA RD NE APT 622, ALBUQUERQUE, NM 87111-2287
(206) 590-0394
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
60760172
WA
363A00000X
Physician Assistant
Primary
60760172
WA
Other
Enumeration date
05/24/2017
Last updated
02/20/2023
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