Shanon Tysland, RPTL
NPI #1851398754 in Lynnwood, Washington
Provider Information
- NPI Number
- 1851398754
- Entity Type
- Individual
- Name
- Shanon Tysland, RPTL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- RPTL
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Feb 10, 2015
Practice Location
- Address
- 4030 ALDERWOOD MALL BLVD
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036
- Phone
- (425) 776-0803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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