Organization
SHANE R. SON, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE RIZARRI SON MD (PHYSICIAN)
(360) 528-2100
Entity
Organization
Contact information
Practice address
412 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8142
(360) 528-2100
(360) 528-2104
Mailing address
PO BOX 12389, OLYMPIA, WA 98508-2389
(360) 528-2100
(360) 528-2104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD00041776
WA
Other
Enumeration date
07/14/2007
Last updated
05/10/2011
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