Individual
POLLYANN SEBRINA LYSEN-HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2705 NE 65TH ST, SEATTLE, WA 98115-7129
(206) 414-9992
(206) 528-6132
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00099295
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30003688
WA
363LF0000X
Family Nurse Practitioner
AP30003688
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211014
LABOR & INDUSTRIES
WA
01
—
16381U
REGENCE BLUESHIELD
WA
05
—
9616822
—
WA
Enumeration date
06/25/2006
Last updated
04/23/2025
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