Shane Selassie Anderson, MD PhD
Pathology, Anatomic Pathology & Clinical Pathology in Seattle, WA. Individual provider (NPI-1).
NPI number1952383432
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1952383432
- Entity type
- Individual (NPI-1)
- Name
- Shane Selassie Anderson
- Credential
- MD PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | MD00039332 | WA | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 79786 | AZ | |
| 207ZD0900X | Pathology, Dermatopathology | MD00039332 | WA |
Practice location
1001 Sw Klickitat Way205
Seattle, WA 98134-1161
Phone 206-622-7747 · Fax 206-467-1470
Mailing address
Po Box 34245Seattle, WA 98124-1245
Phone 206-622-7747 · Fax 206-467-1470
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