Individual
MICHELLE A. CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
325 9TH AVE, BOX 359798, SEATTLE, WA 98104-2499
(206) 744-3462
(206) 744-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003713
WA
363AM0700X
Medical Physician Assistant
Primary
PA10003713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206671
L&I PIN
WA
05
—
8401663
—
WA
01
—
89133U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
07/31/2006
Last updated
06/24/2011
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