| Doctor Name: | MS. KATHLEEN A TILSON |
| NPI Number: | 1215142781 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MHP |
| License Number: | RN00086046 |
| Business Practice Address: | 10710 Mukilteo Speedway Mukilteo, WA - 982755021 |
| Business Phone Number: | 4253498888 |
| Business Fax Number: | |
| Mailing Address: | 14823 Brookside Pl, SNOHOMISH |
| State: | WA |
| Postal Code: | 982904600 |
| Phone Number: | 3605639532 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN00086046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |