Individual
DR. EDIE P SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, BOX 359780, SEATTLE, WA 98104-2420
(206) 744-2053
(206) 744-6063
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046531
WA
208M00000X
Hospitalist Physician
Primary
MD00046531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231955
L&I
WA
05
—
1982657946
—
WA
Enumeration date
05/18/2006
Last updated
09/25/2017
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