Individual
MARY ALICE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(360) 418-6001
(130) 418-6008
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00023639
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
WA MD00023639
WA
Other
Enumeration date
08/14/2006
Last updated
10/13/2025
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