Shane Bush, L.M.P

NPI 1700896800 · on the registry since 2006 · sole proprietor

Practice

Address: 180 Nickerson St
Ste 103
Seattle, WA 98109
Phone: (206) 852-7332
Organisation at this address: Sea Glass Pediatric Therapy, Llc
University Of Washington Parent-Child Assistance Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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