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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THAD SHANE DICKSON, CPHIMS, PMP

Active

THAD 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 N
LAKEBAY, WA, 983499774
Browse 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.