Individual provider · Type 1 NPI

Shannan Theresa O'Brien, PA-C

Surgical Physician Assistant · Mount Vernon, WA

NPI number 1700326824 Active

Practice location

2320 Freeway Dr
Mount Vernon, WA 98273-5445

Fax (360) 814-6953

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60740417 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700326824

Shannan Theresa O'Brien, PA-C's National Provider Identifier is 1700326824, issued on Mar 8, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mount Vernon, WA. The record was last updated on Aug 3, 2021.