Organization
PUGET SOUND SURGICAL ASSISTANTS LLC
Active
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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