Healthcare Provider Details

I. General information

NPI: 1497684195
Provider Name (Legal Business Name): MR. LYNN THOMPSON ARNOLD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11313 47TH AVE SE
EVERETT WA
98208-9668
US

IV. Provider business mailing address

11313 47TH AVE SE
EVERETT WA
98208-9668
US

V. Phone/Fax

Practice location:
  • Phone: 206-353-6546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN006192994
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: