Healthcare Provider Details

I. General information

NPI: 1689652802
Provider Name (Legal Business Name): LINDA SIEU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA S LAI PA-C

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 PACIFIC AVE STE 300
EVERETT WA
98201-4261
US

IV. Provider business mailing address

1100 PACIFIC AVE STE 300
EVERETT WA
98201-4261
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-2433
  • Fax: 425-339-8273
Mailing address:
  • Phone: 425-339-2433
  • Fax: 425-339-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA10003482
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA10003482
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: