Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAD SHANE DICKSON, CPHIMS, PMP
ActiveTHAD SHANE DICKSON, CPHIMS, PMP is a Specialist/Technologist, Surgical healthcare provider located in LAKEBAY, Washington. NPI 1386930733 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · LAKEBAY, WA
Registration Details
- NPI Number
- 1386930733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2011 (15.120491820008 yrs)
- Last Updated
- May 7, 2014
- License
-
CPHIMS - 1592 (WA)
Practice Information
- Address
-
16511 34TH STREET KP NLAKEBAY, WA, 983499774Browse WA providers · Browse ZIP 98349
- Phone
- 2536517482
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.