Individual
LESLIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1724 W UNION AVE STE 100, TACOMA, WA 98405-2099
(253) 830-5200
(253) 752-1160
Mailing address
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61627960
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61627960
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338456
—
WA
Enumeration date
05/10/2025
Last updated
08/04/2025
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