Individual
MICHELLE H MULUGETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 9TH AVE, BOX 359766, SEATTLE, WA 98104-2420
(206) 744-9300
Mailing address
325 9TH AVE, BOX 359766, SEATTLE, WA 98104-2420
(206) 744-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60409002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174956999
—
WA
Enumeration date
08/15/2013
Last updated
08/01/2019
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