Provider Demographics
NPI:1942454277
Name:PATRICIA A SHIGIHARA, DDS, PS
Entity Type:Organization
Organization Name:PATRICIA A SHIGIHARA, DDS, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIGIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-362-1121
Mailing Address - Street 1:9400 ROOSEVELT WAY NE STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2847
Mailing Address - Country:US
Mailing Address - Phone:206-362-1121
Mailing Address - Fax:206-362-0151
Practice Address - Street 1:9400 ROOSEVELT WAY NE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2847
Practice Address - Country:US
Practice Address - Phone:206-362-1121
Practice Address - Fax:206-362-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5910261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental