MEDICARE: DR. PATRICIA ANN SHIGIHARA DDS,PS

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	1223G0001X	General Practice Dentistry	5910	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	831209	OTHER	WA	UNITED CONCORDIA INS.

General Provider Information

NPI Number	:	1962537845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANN SHIGIHARA DDS,PS

Provider Business Mailing Address
First Line	:	9400 ROOSEVELT WAY NE STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2847
Country	:	US
Telephone Number	:	206-362-1121
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 ROOSEVELT WAY NE STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2847
Country	:	US
Telephone Number	:	206-362-1121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/08/2007

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