Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Shannon Phelan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700459179

Tara Shannon Phelan is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5901 N Lidgerwood St Ste 115
Spokane, WA 99208-1122
Phone: (509) 838-4651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61203577 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700459179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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