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Individual

TAMRA TAKEMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6198
(206) 341-0951
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 223-6198
(206) 341-0951

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9072
MA
363AS0400X
Surgical Physician Assistant
Primary
PA70058492
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/13/2021
Last updated
02/09/2026
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