MEDICARE: SHI CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician
2	175F00000X	Naturopath

General Provider Information

NPI Number	:	1518893361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHI CENTER PLLC

Provider Business Mailing Address
First Line	:	1217 4TH AVE E STE 101
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-4246
Country	:	US
Telephone Number	:	360-349-7554
Fax Number	:	385-895-9384

Provider Business Practice Location Address
First Line	:	1217 4TH AVE E STE 101
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-4246
Country	:	US
Telephone Number	:	360-349-7554
Fax Number	:	385-895-9384

Authorized Official
Title or Position	:	OWNER
Name	:	DELORES STEPHENS
Credential	:	ND
Telephone Number	:	360-349-7554

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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