Healthcare Provider Details

I. General information

NPI: 1518893361
Provider Name (Legal Business Name): SHI CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 4TH AVE E STE 101
OLYMPIA WA
98506-4246
US

IV. Provider business mailing address

1217 4TH AVE E STE 101
OLYMPIA WA
98506-4246
US

V. Phone/Fax

Practice location:
  • Phone: 360-349-7554
  • Fax: 385-895-9384
Mailing address:
  • Phone: 360-349-7554
  • Fax: 385-895-9384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DELORES STEPHENS
Title or Position: OWNER
Credential: ND
Phone: 360-349-7554