Individual
SYDNII MARI RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3130 SQUALICUM PKWY, BELLINGHAM, WA 98225-1940
(360) 671-4509
(360) 756-5184
Mailing address
3130 SQUALICUM PKWY, BELLINGHAM, WA 98225-1940
(360) 671-4509
(360) 756-5184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61377687
WA
363AS0400X
Surgical Physician Assistant
PA2187
NV
363AS0400X
Surgical Physician Assistant
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA61377687
STATE LICENSE NUMBER
WA
Enumeration date
05/15/2019
Last updated
02/28/2023
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