NPI 1023263027

Tim Paul Shannon, ND

Practitioner General Practice Physician Tumwater, WA

Practice location

Address: 205 Clark Pl SE, Tumwater, WA 98501-4062
Phone: (360) 570-0401
Fax: (360) 570-2060

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence NT60332027 (WA)

Other General Practice providers in Washington →

Registry record

NPI: 1023263027
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2008
Record last updated: 14 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.