Individual
MELISSA UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4477
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60385596
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497718084
—
WA
Enumeration date
04/06/2006
Last updated
02/19/2014
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