Individual provider · Type 1 NPI

Shanon Tysland, RPTL

Specialist · Lynnwood, WA

NPI number 1851398754 Active

Practice location

4030 Alderwood Mall Blvd
Lynnwood, WA 98036

Call (425) 776-0803 Map

Fax (425) 776-0813

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT00008170 (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 1851398754

Shanon Tysland, RPTL's National Provider Identifier is 1851398754, issued on Jul 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynnwood, WA. The record was last updated on Feb 10, 2015.