Individual
MAHRA K. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3800 MONTLAKE BLVD, SEATTLE, WA 98195-0007
(062) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60930650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235609157
—
WA
Enumeration date
12/04/2018
Last updated
02/12/2020
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