Individual
STACY FRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1634
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60260721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300264
LABOR AND INDUSTRY
WA
05
—
1164772398
—
WA
01
—
P01144437
RAILROAD MEDICARE
WA
Enumeration date
09/14/2012
Last updated
04/08/2013
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