Individual provider · Type 1 NPI
Shannon Michelle Ingrum, LMP
Specialist · Arlington, WA
NPI number
1265791750
Active
Practice location
6210 209th St NE
Arlington, WA 98223-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00016813 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1265791750
Shannon Michelle Ingrum, LMP's National Provider Identifier is 1265791750, issued on May 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Arlington, WA. The record was last updated on May 3, 2012.