Individual
AGNES L. NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
BOX 359868, 325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3205
(206) 744-5194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10001525
WA
363AM0700X
Medical Physician Assistant
Primary
PA10001525
WA
363AS0400X
Surgical Physician Assistant
PA10001525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197287
L&I PIN
WA
01
—
5874NA
REGENCE BLUE SHIELD PIN
WA
05
—
8326035
—
WA
01
—
84624U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/01/2006
Last updated
06/24/2011
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