Individual
MISS NATALIE TAJIPOUR-GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA207512
OR
363A00000X
Physician Assistant
Primary
PA60408483
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225468036
—
WA
01
—
G8927510
MEDICARE PART B
WA
Enumeration date
11/14/2013
Last updated
01/19/2026
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