SearchWashington103TS0200X

Shade Smith

NPI 1326920869 · on the registry since 2025

Practice

Address
13925 Interurban Ave S Ste 120
Tukwila, WA 98168
Phone
(206) 948-0096
Clinicians at this address
126

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Also registered as
101Y00000X
Sex
Male
Record last updated
2026-05-18

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