Healthcare Provider Details

I. General information

NPI: 1245149418
Provider Name (Legal Business Name): DYLAN MANSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 17TH AVE
SEATTLE WA
98122-5711
US

IV. Provider business mailing address

9522 8TH AVE NW APT C
SEATTLE WA
98117-2200
US

V. Phone/Fax

Practice location:
  • Phone: 484-358-8933
  • Fax:
Mailing address:
  • Phone: 484-358-8933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174V00000X
TaxonomyClinical Ethicist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: