Individual
MS. AMY MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3050
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6080081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154852333
—
WA
Enumeration date
03/21/2017
Last updated
04/27/2021
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