Individual
JANE SONNENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2741 DEBARR RD, STE. C-308, ANCHORAGE, AK 99508-2961
(907) 272-3366
(907) 272-0269
Mailing address
PO BOX 808, VERADALE, WA 99037-0808
(509) 363-3100
(509) 363-0300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
759
AK
363AM0700X
Medical Physician Assistant
PA61298356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA61298356
STATE LICENSE
WA
Enumeration date
08/02/2005
Last updated
07/17/2023
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