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NPI Code Detail

MEDICARE: ROBERT RUVKUN PA-C

MEDICARE: ROBERT RUVKUN 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
1363A00000XPhysician AssistantPA10005310WA

General Provider Information

NPI Number : 1285816207
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT RUVKUN PA-C
Provider Business Mailing Address
First Line : 3229 47TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-3316
Country : US
Telephone Number : 206-409-2812
Fax Number :
Provider Business Practice Location Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number : 206-464-6454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2007
Last Update Date : 08/26/2025

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Directions to “ ROBERT RUVKUN PA-C” Practice Location

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