Individual
KATHRYN MITSUKO MAYEDA GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004-1449
(425) 455-3600
(425) 455-3920
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60511076
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60511076
WA
Other
Enumeration date
10/13/2014
Last updated
05/13/2024
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