Search › Washington › 1041C0700X
Samuel Shelton
NPI 1477064236 · on the registry since 2017 · sole proprietor
Practice
- Address
- 817 238th St Se Ste H
Bothell, WA 98021 - Phone
- (425) 820-4717
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington