| Shelby Lidstrom, | |
|
19200 N Kelsey St, Monroe, WA 98272-1431 | |
| (360) 794-7994 | |
| Not Available |
| Full Name | Shelby Lidstrom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 19200 N Kelsey St, Monroe, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154722155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60463924 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Lidstrom, Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Shelby Lidstrom, 19200 N Kelsey St, Monroe, WA 98272-1431 Ph: (360) 794-7994 |
A Chancellor Pell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 | |
Jacob Adam Grillo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 809 W Main St Ste C, Monroe, WA 98272 Phone: 206-552-0882 | |
Jessica Ann Sisu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-9101 | |
Jennifer E. Utter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16700 177th Ave Se, Monroe, WA 98272 Phone: 360-794-2827 Fax: 360-794-2741 | |
Alexander Robinweiler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-805-4790 Fax: 360-805-4791 | |
Mr. Joshua Jason Montemayor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-4790 |