Individual
COURTNEY SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 N 35TH AVE STE 120, YAKIMA, WA 98902-1622
(509) 969-6214
(509) 420-9357
Mailing address
1111 N 35TH AVE STE 120, YAKIMA, WA 98902-1622
(509) 969-6214
(509) 420-9357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60578513
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047300
—
WA
Enumeration date
06/09/2011
Last updated
04/22/2026
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