Individual
ARIELLE ELYSE RADELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA180771
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500730616
—
OR
Enumeration date
05/15/2015
Last updated
06/01/2021
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