Most Relevant Information
Provider Data
| NPI Number: | 1003836529 |
| Provider Name: | ERIN D. SHADE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DI00001488 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 10/06/2009 |
Provider Practice Location
1101 MADISON ST.
SUITE 1500
SEATTLE
WA
98104
Practice Location Phone/Fax
| Phone: | 2069651700 |
| Fax: | 2069651736 |
Provider Mailing Location
1101 MADISON ST.
SUITE 1500
SEATTLE
WA
98104
Provider Mailing Phone/Fax
| Phone: | 2069651700 |
| Fax: | 2069651736 |