Individual
MRS. SUZANNE LENORE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004926
WA
363AM0700X
Medical Physician Assistant
PA10004926
WA
363AS0400X
Surgical Physician Assistant
PA10004926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015680
—
WA
01
—
345814
WA LABOR & INDUSTRIES
WA
Enumeration date
03/08/2007
Last updated
07/27/2023
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