Individual
MS. MELODY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Mailing address
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004586
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10004586
WA
Other
Enumeration date
02/02/2007
Last updated
09/11/2025
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