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NPI Code Detail

MEDICARE: MRS. MICHELLE LEE BILLISH PA-C

MEDICARE: MRS. MICHELLE LEE BILLISH 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 AssistantPA60307491WA
2363AM0700XMedical Physician AssistantPA60307491WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386088748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE LEE BILLISH PA-C
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 904 7TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1132
Country : US
Telephone Number : 206-682-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2013
Last Update Date : 05/14/2026

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Directions to “ MRS. MICHELLE LEE BILLISH PA-C” Practice Location

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