Individual
KATHERINE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
3015 SQUALICUM PKWY STE 180, BELLINGHAM, WA 98225-1946
(360) 733-5733
(360) 733-1859
Mailing address
3015 SQUALICUM PKWY STE 180, BELLINGHAM, WA 98225-1946
(360) 733-5733
(360) 733-1859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2012-0047
NM
363A00000X
Physician Assistant
PA60892445
WA
363AM0700X
Medical Physician Assistant
Primary
PA60892445
WA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125322
—
WA
Enumeration date
10/10/2012
Last updated
08/13/2024
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