Healthcare Provider Details

I. General information

NPI: 1316842669
Provider Name (Legal Business Name): FRANKLIN CHIBUEZE OPARA PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11120 NE 33RD PL STE 202
BELLEVUE WA
98004-1444
US

IV. Provider business mailing address

17017 SE 251ST PL
COVINGTON WA
98042-5231
US

V. Phone/Fax

Practice location:
  • Phone: 888-637-9669
  • Fax:
Mailing address:
  • Phone: 917-436-9926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number70184896
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: