Individual
YOICHIRO SHIMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
(206) 625-7245
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002792
GA
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
10413
GA
363A00000X
Physician Assistant
—
GA
363AS0400X
Surgical Physician Assistant
Primary
61314260
WA
Other
Enumeration date
12/02/2019
Last updated
09/26/2024
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