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Individual

ERIC RICHARD BEDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1124 COLUMBIA ST STE 400, SEATTLE, WA 98104-2053
(206) 215-2090
(206) 215-3099
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61324705
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61324705
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2214836
WA
Enumeration date
03/17/2022
Last updated
12/01/2022
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