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Individual

MRS. SUSAN SHILAND MARVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10564 5TH AVE NE STE 302, SEATTLE, WA 98125-7200
(877) 522-1275
(509) 491-3031
Mailing address
500 SW 7TH ST, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
PA61012128
WA

Other

Enumeration date
09/04/2018
Last updated
02/26/2025
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