Individual
JEFFERY LYNN SHAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 CREEKSIDE LOOP, SUITE 100, YAKIMA, WA 98902-4876
(509) 469-1903
(509) 469-1905
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1905
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
LR00002941
WA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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