Individual provider · Type 1 NPI

Shae Kanakaole, PA-C

Surgical Physician Assistant · Lakewood, WA

NPI number 1982110045 Active

Practice location

7308 Bridgeport Way W Ste 201
Lakewood, WA 98499-8000

Call (253) 582-7257 Map

Fax (253) 582-1617

Other practice locations

  • 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 · (253) 830-5200
  • 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 · (253) 358-4002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XPA61634578 (WA)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1982110045

Shae Kanakaole, PA-C's National Provider Identifier is 1982110045, issued on Dec 27, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakewood, WA. The record was last updated on May 29, 2025.