Search › Washington › 174400000X
Shanon Tysland, RPTL
NPI 1851398754 · on the registry since 2005
Practice
- Address
- 4030 Alderwood Mall Blvd
Lynnwood, WA 98036 - Phone
- (425) 776-0803
- Fax
- (425) 776-0813
- Organisation at this address
- Experience Momentum
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington