Individual
NICOLAE VADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 400, EVERETT, WA 98201-1684
(425) 261-4950
(425) 261-4951
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 60115651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007611
—
WA
01
—
PA10003353
WSL
WA
Enumeration date
05/12/2010
Last updated
10/21/2015
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