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NPI Code Detail

MEDICARE: WENDELYN SHUE

MEDICARE: WENDELYN SHUE
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
1207Q00000XFamily Medicine PhysicianMD60858808WA
2207Q00000XFamily Medicine Physician125067879IL

General Provider Information

NPI Number : 1700272572
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDELYN SHUE
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 26401 PACIFIC HWY S STE 101
Second Line :
City : DES MOINES
State : WA
Zip : 98198-9247
Country : US
Telephone Number : 206-870-3590
Fax Number : 206-824-1670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 04/03/2026

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Directions to “ WENDELYN SHUE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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