Individual
JAMES E. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4225 ROOSEVELT WAY NE, 4TH FLOOR, SEATTLE, WA 98105-6099
(206) 598-4282
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180287
L&I
WA
05
—
1427133768
—
WA
Enumeration date
10/26/2006
Last updated
07/23/2012
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