Individual
SHANE TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-2281
(206) 515-5846
Mailing address
1100 9TH AVE, PO BOX 900, SEATTLE, WA 98101-2756
(206) 583-2281
(206) 515-5846
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 60124157
WA
363AS0400X
Surgical Physician Assistant
Primary
PA 60124157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258896
L AND I
WA
05
—
8564841
—
WA
Enumeration date
12/01/2009
Last updated
03/26/2010
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