Individual
ALEXA E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
550 17TH AVE STE 540, SEATTLE, WA 98122-4470
(206) 320-2842
(206) 320-2226
Mailing address
550 17TH AVE STE 540, SEATTLE, WA 98122-4470
(206) 320-2842
(206) 320-2226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1652
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8382608
—
WA
Enumeration date
11/02/2006
Last updated
10/24/2011
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