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NPI Code Detail

MEDICARE: JULIE KING PA-C

MEDICARE: JULIE KING 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 AssistantPA66417CA
2363A00000XPhysician AssistantPA60776900WA
3363A00000XPhysician Assistant030728NY

General Provider Information

NPI Number : 1447681283
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KING PA-C
Provider Business Mailing Address
First Line : 10311 273RD AVE SE
Second Line :
City : MONROE
State : WA
Zip : 98272-9582
Country : US
Telephone Number : 845-701-1912
Fax Number :
Provider Business Practice Location Address
First Line : 555 ANDOVER PARK W # 200
Second Line :
City : TUKWILA
State : WA
Zip : 98188-3379
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2013
Last Update Date : 04/21/2026

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