Individual
MS. MARTHA ELLEN SERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3015 SQUALICUM PKWY, STE 180, BELLINGHAM, WA 98225-1945
(360) 733-5733
(360) 733-1859
Mailing address
3015 SQUALICUM PKWY, STE 180, BELLINGHAM, WA 98225-1946
(360) 733-5733
(360) 733-1859
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7110646
—
WA
Enumeration date
03/15/2006
Last updated
10/31/2007
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