Individual
HEATHER LIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
(877) 515-2975
Mailing address
700 BROADWAY E UNIT 117, SEATTLE, WA 98102-7600
(612) 209-6116
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60794247
WA
Other
Enumeration date
04/30/2015
Last updated
10/26/2023
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