Individual
BECKY A. ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 EASTLAKE AVE EAST, BOX 358081, SEATTLE, WA 98109-1023
(206) 288-6866
(206) 288-2054
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001351
WA
363AM0700X
Medical Physician Assistant
PA10001351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171813
L&I PIN
WA
05
—
8356289
—
WA
01
—
UW7849
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/02/2006
Last updated
04/23/2009
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