Individual
ALEXANDRA HURTADO DAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Mailing address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61001213
WA
363AM0700X
Medical Physician Assistant
Primary
PA61001213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143588
—
WA
01
—
591443
LABOR & INDUSTRIES
WA
Enumeration date
09/10/2018
Last updated
01/09/2025
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