Individual
LISA ANN MOTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27500 168TH PL SE, COVINGTON, WA 98042-5563
(425) 690-3430
(425) 690-9430
Mailing address
27500 168TH PL SE, COVINGTON, WA 98042-5563
(425) 690-3430
(425) 690-9430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA60912825
WA
363A00000X
Physician Assistant
Primary
PA60912825
WA
363AM0700X
Medical Physician Assistant
PA60912825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139449
—
WA
Enumeration date
07/24/2017
Last updated
09/08/2022
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