Individual provider · Type 1 NPI

Shane Mitchell

Student in an Organized Health Care Education/Training Program · Tukwila, WA

NPI number 1366052037 Active

Practice location

6100 Southcenter Blvd
Tukwila, WA 98188-2442

Call (206) 444-7800 Map

Fax (206) 444-7810

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366052037

Shane Mitchell's National Provider Identifier is 1366052037, issued on Aug 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tukwila, WA. The record was last updated on Aug 6, 2020.