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Suzanna Shepherd

NPI 1780036004 · on the registry since 2016

Practice

Address
22026 20th Ave Se Ste 101
Canyon Park Treatment Solutions
Bothell, WA 98021
Phone
(425) 672-7293
Fax
(425) 329-4640
Clinicians at this address
16

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-04

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