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Individual

WENDY S. BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
728 134TH ST SW, SUITE 120, EVERETT, WA 98204-5322
(425) 297-6200
(425) 297-6250
Mailing address
728 134TH ST SW, SUITE 120, EVERETT, WA 98204-5322
(425) 297-6200
(425) 297-6250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004147
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173000
L&I NUMBER
WA
Enumeration date
05/18/2006
Last updated
09/12/2007
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