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

SHANON TYSLAND, RPTL

Active

Specialist · LYNNWOOD, WA

Registration Details

NPI Number
1851398754
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2005 (20.817622460739 yrs)
Last Updated
Feb 10, 2015
License
PT00008170 (WA)

Practice Information

Address
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA, 98036
Browse WA providers · Browse ZIP 98036
Phone
4257760803
Fax
4257760813
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LYNNWOOD, WA

Name Credential NPI
MRS. JENNIFER LYNN MELLE LMP 1104908052
MR. CHAD ERIC TRIPLETT L.M.P. 1346398823
MS. SHANNON LYNNE QUENZER LMP 1013067008
ELIZABETH KEHAULANI CHRISTIAN LMP 1053462234
MR. BRANDON TRENT BROADY LMP 1043361900
HILLARY MALU LMP 1922153469
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.