=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518893361
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHI CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2026
-----------------------------------------------------
Last Update Date | 06/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1217 4TH AVE E STE 101
-----------------------------------------------------
City | OLYMPIA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98506-4246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-349-7554
-----------------------------------------------------
Fax | 385-895-9384
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1217 4TH AVE E STE 101
-----------------------------------------------------
City | OLYMPIA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98506-4246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-349-7554
-----------------------------------------------------
Fax | 385-895-9384
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DELORES STEPHENS
-----------------------------------------------------
Credential | ND
-----------------------------------------------------
Telephone | 360-349-7554
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083P0500X
-----------------------------------------------------
Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------