Individual
PAULA L. ZELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1703 S MERIDIAN STE 305, PUYALLUP, WA 98371-7590
(253) 841-3933
(253) 848-7970
Mailing address
3209 S 23RD ST STE 200, TACOMA, WA 98405-1602
(253) 272-5127
(253) 272-0811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60184603
WA
363AM0700X
Medical Physician Assistant
PA60184603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272067
L&I AND CRIME VICTIMS
WA
05
—
1467538215
—
WA
01
—
P01425765
RR MEDICARE
WA
01
—
V998
TRI-WEST (TRICARE)
WA
Enumeration date
10/27/2006
Last updated
03/02/2022
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