Shane Sue Whitehead

NPI #1073260600 in Seattle, Washington

Provider Information

NPI Number: 1073260600
Entity Type: Individual
Name: Shane Sue Whitehead
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Mar 3, 2022
Last Updated: Aug 7, 2023

Practice Location

Address: 5801 SAND POINT WAY NE
City: Seattle
State: Washington
ZIP Code: 98105-2147
Phone: (206) 987-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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