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Shane R. Son, Md, Pllc
Primary Care Clinic/Center in Olympia, Washington
NPI 1518166040

Shane R. Son, Md, Pllc is a Primary Care Clinic/Center based in Olympia, WA and is specialized in Primary Care. Shane R. Son, Md, Pllc practices in Olympia, WA. The NPI Number for Shane R. Son, Md, Pllc is 1518166040 and holds a License No. MD00041776 (Washington).

The current practice location address for Shane R. Son, Md, Pllc is 412 Black Hills Ln Sw Ste A, Olympia, WA and can be reached out via phone at 360-528-2100 and via fax at 360-528-2104.

Location: 412 Black Hills Ln Sw Ste A, Olympia, WA, 98508-2389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518166040
Provider Name
Shane R. Son, Md, Pllc
Credential
Provider Entity Type
Organization
Address
412 Black Hills Ln Sw Ste A, Olympia, WA, 98508-2389
Phone Number
360-528-2100
Fax Number
360-528-2104
Provider Enumeration Date
07/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
412 Black Hills Ln Sw Ste A
City
Olympia
State
Washington
Zip
98502-8142
Phone Number
360-528-2100
Fax Number
360-528-2104
person
Provider Business Mailing Address Details
Address
412 Black Hills Ln Sw Ste A
City
Olympia
State
Washington
Zip
98502-8142
Phone Number
360-528-2100
Fax Number
360-528-2104
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MD00041776 (Washington)
Definition
Definition to come...
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