Individual
TIMOTHY VALENTINE CRUICKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
805 MADISON ST STE 701, SEATTLE, WA 98104-2099
(206) 707-9299
(206) 432-4552
Mailing address
805 MADISON ST STE 701, SEATTLE, WA 98104-2099
(206) 707-9299
(206) 432-4552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10535560
NE
363A00000X
Physician Assistant
Primary
60705908
WA
Other
Enumeration date
01/11/2007
Last updated
07/29/2020
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