Individual provider · Type 1 NPI

Shane Haupt, L.M.P.

Specialist · Vancouver, WA

NPI number 1326236498 Active

Practice location

11701 NE 95th St Ste C
Vancouver, WA 98682-2318

Mailing address

3021 NE 72nd Dr Ste 9-63
Vancouver, WA 98661-7300

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00020575 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326236498

Shane Haupt, L.M.P.'s National Provider Identifier is 1326236498, issued on Oct 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 13, 2007.