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Shanon Tysland, RPTL
Specialist in Lynnwood, Washington
NPI 1851398754

Shanon Tysland is a Specialist based in Lynnwood, WA. Shanon Tysland practices in Lynnwood, WA and has the professional credentials of RPTL. The NPI Number for Shanon Tysland is 1851398754 and holds a License No. PT00008170 (Washington).

The current practice location address for Shanon Tysland is 4030 Alderwood Mall Blvd, Lynnwood, WA and can be reached out via phone at 425-776-0803 and via fax at 425-776-0813.

Location: 4030 Alderwood Mall Blvd, Lynnwood, WA, 98036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851398754
Provider Name
Shanon Tysland
Credential
RPTL
Provider Entity Type
Individual
Gender
Male
Address
4030 Alderwood Mall Blvd, Lynnwood, WA, 98036
Phone Number
425-776-0803
Fax Number
425-776-0813
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4030 Alderwood Mall Blvd
City
Lynnwood
State
Washington
Zip
98036
Phone Number
425-776-0803
Fax Number
425-776-0813
person
Provider Business Mailing Address Details
Address
4030 Alderwood Mall Blvd
City
Lynnwood
State
Washington
Zip
98036
Phone Number
425-776-0803
Fax Number
425-776-0813
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT00008170 (Washington)
Definition
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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