Individual
ERIN M. MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
(360) 454-1991
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.60511982
WA
363A00000X
Physician Assistant
Primary
PA60511982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1122012
NCCPA
—
Enumeration date
10/14/2014
Last updated
04/27/2021
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