Individual
MISS MICHELLE LYNN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4033 TALBOT RD S STE 570, RENTON, WA 98055-5700
(425) 690-3489
(425) 690-9089
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60570863
WA
363AM0700X
Medical Physician Assistant
Primary
PA60570863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049501
—
WA
01
—
G8963551
MEDICARE
WA
Enumeration date
01/04/2009
Last updated
10/31/2025
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