Individual
ELIZABETH ROSE ABECASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1519 3RD ST SE STE 230, PUYALLUP, WA 98372-3742
(253) 841-9640
(253) 841-7645
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA60118259
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60118259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004108
—
WA
Enumeration date
11/02/2009
Last updated
10/19/2020
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