NPI 1265244461
Shawn Dirksen
Practice location
- Address
- 10831 Vernon Rd, Lake Stevens, WA 98258-8540
- Phone
- (678) 919-0261
- Mailing address
- 8044 Montgomery Rd STE 700, Cincinnati, OH 45236-2926
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1265244461
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jan 2025
- Record last updated
- 23 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.