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SHANE R. SON MD PLLC NPI 1518166040


NPI Information

NPI: 1518166040
Provider Name: SHANE R. SON, MD, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
412 BLACK HILLS LN SW STE A
OLYMPIA, WA
ZIP 98502
Phone: (360) 528-2100
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SHANE R. SON, MD, PLLC is a primary care clinic center in Olympia, WA. SHANE R. SON, MD, PLLC NPI is 1518166040. The provider is registered as an organization entity type.

The provider's business location address is:

412 BLACK HILLS LN SW STE A
OLYMPIA, WA
ZIP 98502-142
Phone: (360) 528-2100
Fax: (360) 528-2104

The provider's authorized official is Shane Rizarri Son .
The authorized official title is Physician and has the following contact phone number (360) 528-2100.

The enumeration date for this NPI number is 7/14/2007 and was last updated on 5/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareMD00041776WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8866098MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.