Most Relevant Information
Provider Data
| NPI Number: | 1003526609 |
| Provider Name: | NATHANIEL AARON SHEPARD |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2022 |
| Last Updated: | 12/05/2022 |
Provider Practice Location
1202 BLACK LAKE BLVD
SUITE B
OLYMPIA
WA
98502
Practice Location Phone/Fax
| Phone: | 2063285696 |
| Fax: |
Provider Mailing Location
2261 NUT TREE LOOP SE
OLYMPIA
WA
985013149
Provider Mailing Phone/Fax
| Phone: | 2063710920 |
| Fax: |