Individual
JANICE SIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Mailing address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60416837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60416837
PHYSICIAN ASSISTANT LICENSE
WA
Enumeration date
11/15/2013
Last updated
05/05/2021
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