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Individual

LESLIE N. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 288-6952
(206) 288-2042
Mailing address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-6952
(206) 288-1435

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003637
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0189879
LABOR & INDUSTRY
WA
01
57635U
REGENCE BLUESHIELD
WA
05
8399172
WA
Enumeration date
07/21/2006
Last updated
09/19/2016
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