Individual
ALISHA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 548-2964
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61593428
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2020
Last updated
01/16/2025
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