Individual
YURIY BILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
205 10TH ST NE, AUBURN, WA 98002-4045
(253) 351-5300
(253) 627-6576
Mailing address
205 10TH ST NE, AUBURN, WA 98002-4045
(253) 351-5300
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004202
WA
363AM0700X
Medical Physician Assistant
PA10004202
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000777
—
WA
05
—
8196743
—
WA
01
—
P00028557
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
12/01/2020
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