Organization
PUGET SOUND SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RICK HARADA PA (PHYSICIAN ASSISTANT)
(425) 327-7442
Entity
Organization
Contact information
Practice address
14712 134TH CT NE, WOODINVILLE, WA 98072-4615
(425) 327-7442
Mailing address
PO BOX 2656, WOODINVILLE, WA 98072-2656
(425) 327-7442
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346293107
NPI
WA
01
—
1447276183
NPI
—
Enumeration date
02/24/2010
Last updated
07/24/2012
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