Individual
TIM C RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4915 25TH AVE NE, SUITE 300-W, SEATTLE, WA 98105-5667
(206) 525-7777
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004679
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217066
LNI
WA
05
—
1730252032
—
WA
Enumeration date
11/16/2006
Last updated
01/06/2015
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