Individual
CASEY LEE OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 MADISON ST STE 500, SEATTLE, WA 98104-1305
(877) 825-8584
Mailing address
1229 MADISON ST STE 500, SEATTLE, WA 98104-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61395903
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61395903
STATE LICENSE
WA
Enumeration date
06/27/2022
Last updated
04/27/2023
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