Individual
MRS. JAIME MICHELLE CHAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4311 11TH AVENUE NE, SUITE 200, SEATTLE, WA 98105-9050
(206) 616-4001
Mailing address
217 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 455-4948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.61185716
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.61185716
PA LICENSE
WA
Enumeration date
05/10/2017
Last updated
07/13/2021
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