Individual
DR. SHANE E OTTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1619
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD61609280
WA
208600000X
Surgery Physician
Primary
MD.MD.61609280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102632009
—
PA
Enumeration date
06/30/2006
Last updated
12/05/2024
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