MEDICARE: SHY BRYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1629945001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHY BRYAN

Provider Business Mailing Address
First Line	:	PO BOX 1221
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98507-1221
Country	:	US
Telephone Number	:	360-884-9450
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 PATTISON ST NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-4954
Country	:	US
Telephone Number	:	360-918-8424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

Similar Medicare Providers

1932070133 — RAVEN SCRIVNER
Practice Location Address:

161 PATTISON ST NE
OLYMPIA, WA
98506-4954

Practice Phone: 360-357-7224
Practice Fax:

1962340653 — DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Practice Location Address:

304 W BAY DR NW STE 201
OLYMPIA, WA
98502-4954

Practice Phone: 360-459-5900
Practice Fax:

1801348685 — MS. ALISIA L DAVIS LICSW
Practice Location Address:

4954 OLYMPIA PL
WALDORF, MD
20602-5105

Practice Phone: 760-351-6371
Practice Fax:

1932047834 — EDEN REBEKA HOFFMEISTER
Practice Location Address:

3436 MARY ELDER RD NE
OLYMPIA, WA
98506-5050

Practice Phone: 360-528-2590
Practice Fax:

1871297515 — OLYMPIA HEALTH INC
Practice Location Address:

3620 ENSIGN RD NE STE B
OLYMPIA, WA
98506-6957

Practice Phone: 360-884-0052
Practice Fax:

1285926816 — DR. TASHA YVONNE MARENBACH M.D.
Practice Location Address:

525 LILLY RD NE # 204
OLYMPIA, WA
98506-5101

Practice Phone: 360-493-7230
Practice Fax: 360-493-4180

Directions to “ SHY BRYAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.