Individual
MARTHA C PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Mailing address
5870 HIATUS RD, REGIONAL ADMIN OFFICE, TAMRAC, FL 33321-6424
(954) 377-3074
(865) 560-7110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175422
LIWA
WA
01
—
2414PA
BSWA
WA
05
—
8364077
—
WA
Enumeration date
06/17/2006
Last updated
09/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us