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Individual

SHAWN NOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7212
(253) 582-8900
Mailing address
6505 86TH AVE W, UNIVERSITY PLACE, WA 98467-4066
(425) 761-1268

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
27825
OK
2084P0800X
Psychiatry Physician
Primary
MD60443335
WA
390200000X
Student in an Organized Health Care Education/Training Program
27825
OK

Other

Enumeration date
07/15/2010
Last updated
02/09/2015
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