Provider Demographics
NPI:1134402456
Name:WEISS, SHEILA SHAW (MS)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:SHAW
Last Name:WEISS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1146
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-1146
Mailing Address - Country:US
Mailing Address - Phone:425-397-3624
Mailing Address - Fax:425-377-8257
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:UNIVERSITY OF WASHINGTON MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6159
Practice Address - Country:US
Practice Address - Phone:206-598-1917
Practice Address - Fax:206-598-2359
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS