Individual
CAROLINE EMMA HEIDBREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5005 MAIN ST, SUITE 125, TACOMA, WA 98407-3168
(253) 759-4522
(253) 759-4699
Mailing address
4011 34TH AVE SW, SEATTLE, WA 98126-2615
(773) 322-7308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60587067
WA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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