Individual
SKYLER SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11120 NE 33RD PL STE 202, BELLEVUE, WA 98004-1444
(206) 823-1004
Mailing address
11120 NE 33RD PL STE 202, BELLEVUE, WA 98004-1444
(206) 823-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61085749
WA
363A00000X
Physician Assistant
Primary
PA62182
CA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165995
—
WA
Enumeration date
01/05/2020
Last updated
04/03/2023
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