Individual
MS. ALEXANDRA ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(253) 858-4348
Mailing address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(253) 858-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102026
FL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA60147999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010157
—
WA
05
—
292779900
—
FL
Enumeration date
09/26/2006
Last updated
12/03/2020
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