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

Shane Blunk, MD

Individual provider General Practice Physician · NPI 1871186890

Shane Blunk, MD is a General Practice Physician in Tacoma, Washington. Licensed in Nebraska. Registered with an NPI since 2021.

Licensed in
NE
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 34951 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 34951 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871186890
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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