Individual
MRS. ANGELA K BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205882
L & I
WA
01
—
G8858856
MEDICARE EMRI
WA
01
—
G8861206
MEDICARE POSM
WA
Enumeration date
06/28/2006
Last updated
12/31/2015
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