Individual
KRISTA VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(425) 344-7970
Mailing address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(425) 344-7970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60731157
WA
Other
Enumeration date
01/24/2017
Last updated
07/23/2020
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