Provider Demographics
NPI:1962642843
Name:HEIN, SHELBY ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:ROSE
Last Name:HEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:3015 SQUALICUM PKWY
Practice Address - Street 2:SUITE #120
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1945
Practice Address - Country:US
Practice Address - Phone:360-676-9336
Practice Address - Fax:360-676-2567
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2014-01-06
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Provider Licenses
StateLicense IDTaxonomies
WAMD60042947207Q00000X
COTL2243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine