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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00020575 (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.