Individual
MYRIAM S CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 400, EVERETT, WA 98201-1684
(425) 261-4950
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004602
WA
363AS0400X
Surgical Physician Assistant
PA10004602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8395584
—
WA
Enumeration date
02/22/2007
Last updated
01/12/2022
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