Individual
MARY BETHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5216 POINT FOSDICK DR # 102, GIG HARBOR, WA 98335-0037
(253) 530-6900
(253) 530-6901
Mailing address
5216 POINT FOSDICK DR # 102, GIG HARBOR, WA 98335-0037
(253) 530-6900
(253) 530-6901
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8432239
—
WA
Enumeration date
03/05/2007
Last updated
08/05/2024
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