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Individual

MR. LINCOLN STEPHEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4550 FAUNTLEROY WAY SW STE 200, SEATTLE, WA 98126-3471
(206) 933-1041
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9460
(360) 307-7300
(877) 777-9902

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA61063409
WA
363AM0700X
Medical Physician Assistant
PA60577633
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2048671
WA
01
PA60577633
WASHINGTON STATE PA LICENSE
WA
Enumeration date
07/08/2015
Last updated
03/06/2026
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