Individual
PATRICIA C REPPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12911 120TH AVE NE STE H210, KIRKLAND, WA 98034-3065
(425) 823-4000
(425) 821-3550
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
(425) 823-4000
(425) 821-3550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA60933978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128548
—
WA
Enumeration date
11/01/2018
Last updated
02/20/2024
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