Unknown Individual – Physician Assistant, NPI 1760490320
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
12721 30th Ave NE
Suite101
Seattle, WA 981254498
Phone: (206) 417-0326
Fax: (206) 417-0783
Type: Location
20200 54TH AVE W
LYNNWOOD, WA 980366318
Phone: (425) 672-6400
Type: Mailing
12721, 30th Avenue Northeast, Kenwood, Lake City, Seattle, King County, Washington, 98125, United States
SUITE 101
SEATTLE, WA 981254498
Phone: (206) 417-0326
Fax: (206) 417-0783
Type: Mailing
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98125)
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