Individual
SIMRANJIT SINGH SRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MPH, PA-S
Contact information
Practice address
1350 MARVIN RD NE STE D, LACEY, WA 98516-3877
(888) 227-3312
(360) 413-6509
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(425) 207-5155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61479373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265952
—
WA
Enumeration date
08/15/2022
Last updated
04/23/2024
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