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Individual

MEGAN MARIE DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-4288
Mailing address
5901 STEILACOOM BLVD SW, LAKEWOOD, WA 98499-3120
(253) 572-2856

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60314307
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578815759
WA
Enumeration date
10/11/2012
Last updated
02/26/2021
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