Individual
KEATON ORSZT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3124 S 19TH ST STE C320, TACOMA, WA 98405-2485
(253) 301-5100
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6766
AZ
363AS0400X
Surgical Physician Assistant
Primary
PA61095906
WA
Other
Enumeration date
10/05/2016
Last updated
08/02/2023
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