Individual
LILIYA V. BILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22000 MARINE VIEW DR S, SUITE 100, DES MOINES, WA 98198-6233
(206) 870-4460
(206) 870-4770
Mailing address
22000 MARINE VIEW DR S STE 100, DES MOINES, WA 98198-6233
(206) 870-4460
(253) 351-5399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004046
WA
363AM0700X
Medical Physician Assistant
PA10004046
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310531
STATE L&I
WA
05
—
1037638
—
WA
Enumeration date
05/18/2006
Last updated
12/01/2020
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