Individual
JOHN M GAVARESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1330 ROCKEFELLER AVE, EVERETT, WA 98201-1684
(425) 339-5442
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60626029
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063236
—
WA
Enumeration date
12/03/2015
Last updated
09/07/2022
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