Individual
JONATHAN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
4916 46TH AVE S, SEATTLE, WA 98118-2009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8329641
—
WA
Enumeration date
05/17/2006
Last updated
08/28/2009
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