Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane A. Walter, IDC

Individual provider Independent Duty Corpsman · NPI 1316915309

Mr. Shane A. Walter, IDC is an Independent Duty Corpsman in Silverdale, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

Bhc Bangor 2050 Barb St Ste A Naval Submarine Base Bangor
Silverdale, WA 98315-2099
Phone: (360) 315-4356
Fax: (360) 396-4247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 0I1002X171 (WA)

Record details

NPI number1316915309
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESJuly 13, 2026

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