Individual
MR. IAN ROBERT SHEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(682) 206-2371
(206) 682-2405
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
(206) 682-2405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60994971
WA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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