Individual
SHANNON L CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 SW 136TH ST, NAVOS MHWC, BURIEN, WA 98166-1214
(206) 241-0990
(206) 257-6830
Mailing address
1210 SW 136TH ST, NAVOS MHWC, BURIEN, WA 98166-1214
(206) 241-0990
(206) 257-6830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00046072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011628
—
WA
Enumeration date
06/05/2006
Last updated
03/18/2015
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