Individual
DR. JACK RAYMOND SHUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
2335 VINING ST, BELLINGHAM, WA 98229-5940
(360) 733-1693
(360) 733-1693
Mailing address
2335 VINING ST, BELLINGHAM, WA 98229-5940
(360) 733-1693
(360) 733-1693
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00000051
WA
175F00000X
Naturopath
Primary
NT00000554
WA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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