Individual
MARTIN MUY-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(425) 264-2568
(425) 264-2569
Mailing address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(425) 264-2568
(425) 264-2569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005323
WA
363AM0700X
Medical Physician Assistant
PA10005323
WA
Other
Enumeration date
10/22/2007
Last updated
07/19/2019
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