Individual
JI HYUN LEE PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-4427
(206) 987-3946
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105
(206) 987-4427
(206) 987-3946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005174
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4300949
MT MEDICAID
MT
01
—
806602100
ID MEDICAID
ID
05
—
9627936
—
WA
01
—
NP979WA
AK MEDICAID
AK
Enumeration date
07/13/2006
Last updated
07/13/2007
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