Search › Washington › 1041C0700X
Eden Shore
NPI 1013885425 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5233 S Orchard Ter
Seattle, WA 98118 - Phone
- (360) 420-0521
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington