Individual
JANELLE ELIZABETH BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11511 CANTERWOOD BLVD NW STE 205, GIG HARBOR, WA 98332
(253) 530-2663
(253) 530-2675
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60859704
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60859704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104891
—
WA
Enumeration date
05/02/2018
Last updated
12/20/2021
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