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

Thad Shane Dickson, CPHIMS, PMP

Individual provider Other Specialist/Technologist · NPI 1386930733

Thad Shane Dickson, CPHIMS, PMP is an Other Specialist/Technologist in Lakebay, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

16511 34th Street Kp N
Lakebay, WA 98349-9774
Phone: (253) 651-7482
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence CPHIMS - 1592 (WA)
Mental Health Counselor Taxonomy 101YM0800X (WA)

Record details

NPI number1386930733
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHIMS , PMP
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESMay 7, 2014
Mailing address16511 34th Street Kp N, Lakebay, WA 98349-9774

Other providers in Lakebay