Individual
SAMIRA PARDAKHTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 17TH AVE STE 540, SEATTLE, WA 98122-4470
(206) 320-2300
(206) 320-8149
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60474378
WA
Other
Enumeration date
06/06/2012
Last updated
06/23/2021
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