Individual
MADELAINE M PYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31405 18TH AVE S, FEDERAL WAY, WA 98003-5433
(253) 681-6600
(253) 681-6645
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61484043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265687
—
WA
Enumeration date
08/31/2022
Last updated
11/20/2023
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