Individual
SAMANTHA RACHELLE HALELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1135 116TH AVE NE, BELLEVUE, WA 98004-4623
(425) 453-1772
Mailing address
1135 116TH AVE NE, BELLEVUE, WA 98004-4623
(425) 688-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60908087
WA
363A00000X
Physician Assistant
Primary
PA60908087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155852
—
WA
Enumeration date
11/01/2018
Last updated
06/30/2025
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