MEDICARE: MS. EMILY MAE PAAUW ARNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60784450	WA
2	363LF0000X	Family Nurse Practitioner	AP60784450	WA

General Provider Information

NPI Number	:	1609386788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY MAE PAAUW ARNP

Provider Business Mailing Address
First Line	:	PO BOX 23577
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97281-3577
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 BROADWAY E # 10
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5023
Country	:	US
Telephone Number	:	844-966-6777
Fax Number	:	866-859-8195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	05/08/2025

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