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Individual

MR. PAUL T. MAGINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1231 116TH AVE NE, SUITE 750, BELLEVUE, WA 98004-3804
(425) 455-3600
(425) 455-3920
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA051296
PA
363AS0400X
Surgical Physician Assistant
Primary
PA60229732
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0281420
L & I
WA
01
G8901450
MEDICARE POSM
WA
01
G8901451
MEDICARE EMRI
WA
01
P01019499
MEDICARE RR KING CO.
WA
Enumeration date
12/01/2006
Last updated
05/15/2012
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