Organization · Type 2 NPI
Shine Functional Medicine LLC
Medical Specialty Clinic/Center · Seattle, WA
Practice location
1633 Bellevue Ave Ste A
Seattle, WA 98122-6820
Fax (206) 237-0773
Mailing address
1700 7th Ave Ste 116, Pmb #300
Seattle, WA 98101-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
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About NPI 1376087940
Shine Functional Medicine LLC's National Provider Identifier is 1376087940, issued on Dec 15, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Seattle, WA. The record was last updated on Dec 15, 2016.