Individual
JASON ERIC LEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4252
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60422854
WA
363AM0700X
Medical Physician Assistant
PA60422854
WA
363AS0400X
Surgical Physician Assistant
PA60422854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083042816
—
WA
Enumeration date
10/14/2013
Last updated
12/06/2021
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