Individual provider · Type 1 NPI

Shelby Lidstrom

Physician Assistant · Monroe, WA

NPI number 1154722155 Active

Practice location

19200 N Kelsey St
Monroe, WA 98272-1431

Call (360) 794-7994 Map

Mailing address

PO Box 3360
Portland, OR 97208-3360

Other practice locations

  • 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 · (208) 625-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-2541 (ID)
Physician Assistant Primary 363A00000XPA60463924 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154722155

Shelby Lidstrom's National Provider Identifier is 1154722155, issued on Sep 9, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Monroe, WA. The record was last updated on Jul 24, 2025.