Individual
MICHELLE LYNNE VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
PICKERING PLACE, 1455 11TH AVE NW, ISSAQUAH, WA 98027
(425) 391-3900
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253780
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8356446
—
WA
Enumeration date
10/16/2006
Last updated
08/27/2012
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