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NPI Code Detail

MEDICARE: ERINN JESSICA KING PA-C

MEDICARE: ERINN JESSICA KING PA-C
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
1363A00000XPhysician AssistantPA10004053WA
2363AM0700XMedical Physician AssistantPA10004053WA

General Provider Information

NPI Number : 1023128923
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERINN JESSICA KING PA-C
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2329 4TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-1717
Country : US
Telephone Number : 206-901-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/29/2025

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Directions to “ ERINN JESSICA KING PA-C” Practice Location

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