Search › Washington › 207Q00000X
Shannon Brodersen, M.D
NPI 1396938916 · on the registry since 2007
Practice
- Address
- 16528 E Desmet Ct Ste B2100
Spokane Valley, WA 99216 - Phone
- (509) 944-9440
- Fax
- (509) 227-7070
- Organisation at this address
- Providence Surgery And Procedure Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 86
Additional practice sites
- 701 Hospital Loop, Fairchild Afb, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-10
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