Individual
JESSICA SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 S MERIDIAN, PUYALLUP, WA 98373-3701
(253) 840-1840
Mailing address
9521 62ND ST NW, GIG HARBOR, WA 98335-5627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127255
L&I NUMBER
WA
Enumeration date
08/13/2006
Last updated
07/08/2007
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