Individual provider · Type 1 NPI

Samantha Shannon, PAC

Surgical Physician Assistant · Tacoma, WA

NPI number 1346831708 Active

Practice location

1802 Yakima Ave Ste 102
Tacoma, WA 98405-5303

Call (253) 272-7777 Map

Fax (253) 426-4142

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-12174 (NC)
Physician Assistant 363A00000XPA.PA.70087442 (WA)
Surgical Physician Assistant Primary 363AS0400XPA.PA.70087442 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1346831708

Samantha Shannon, PAC's National Provider Identifier is 1346831708, issued on Jan 28, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tacoma, WA. The record was last updated on Sep 25, 2026.