Individual
MISS ELISABETH ROSE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 S KITSAP BLVD STE 100, PORT ORCHARD, WA 98366-3709
(360) 744-6275
(360) 744-6270
Mailing address
450 S KITSAP BLVD STE 100, PORT ORCHARD, WA 98366-3709
(360) 744-4390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60736525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077317
—
WA
Enumeration date
01/06/2011
Last updated
04/26/2022
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