Healthcare Provider Details

I. General information

NPI: 1609386788
Provider Name (Legal Business Name): EMILY MAE PAAUW ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MAE JOHNSON ARNP

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 BROADWAY E # 10
SEATTLE WA
98102-5023
US

IV. Provider business mailing address

PO BOX 23577
TIGARD OR
97281-3577
US

V. Phone/Fax

Practice location:
  • Phone: 844-966-6777
  • Fax: 866-859-8195
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60784450
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60784450
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: