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NPI Code Detail

MEDICARE: DEREK F ANDRZEJEWSKI PA-C

MEDICARE: DEREK F ANDRZEJEWSKI 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
1363AM0700XMedical Physician AssistantPA57779CA
2363AM0700XMedical Physician AssistantPA70082059WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157779OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1437785268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK F ANDRZEJEWSKI PA-C
Provider Business Mailing Address
First Line : 201 16TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5226
Country : US
Telephone Number : 206-326-3000
Fax Number : 877-515-2975
Provider Business Practice Location Address
First Line : 201 16TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5226
Country : US
Telephone Number : 206-326-3000
Fax Number : 877-515-2975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2020
Last Update Date : 03/16/2026

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