Individual
SONNI ERIKA SIMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 BROADWAY, SUITE 617, SEATTLE, WA 98122-4396
(206) 623-0922
(206) 623-1588
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA157572
OR
363AS0400X
Surgical Physician Assistant
Primary
PA60656069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022378
—
WA
01
—
383912
WA LABOR & INDUSTRIES
WA
05
—
500645348
—
OR
Enumeration date
04/24/2012
Last updated
05/20/2019
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