Healthcare Provider Details

I. General information

NPI: 1659289346
Provider Name (Legal Business Name): SHAWN DAVID HAMBY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 BROADWAY ST STE 315
VANCOUVER WA
98660-3310
US

IV. Provider business mailing address

1459 W JAY CT
SPOKANE WA
99208-6787
US

V. Phone/Fax

Practice location:
  • Phone: 509-358-7944
  • Fax:
Mailing address:
  • Phone: 425-273-1989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: