Individual
KIRSTEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-1869
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60672287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053734871
—
WA
Enumeration date
01/30/2014
Last updated
08/09/2019
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