Individual
ANNE CLOUGHERTY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7210 ROOSEVELT WAY NE, SEATTLE, WA 98115-5600
(206) 320-3400
(206) 320-5773
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405862
—
WA
01
—
8850398
MEDICARE
WA
Enumeration date
01/16/2007
Last updated
06/02/2021
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