Individual
MRS. SANELA SAMARDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12911 120TH AVE NE, SUITE H-210, KIRKLAND, WA 98034-3027
(425) 823-4000
(425) 821-3550
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60188654
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60188654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011187
—
WA
01
—
G8959157
MEDICARE PTAN KING CO.
WA
01
—
G8959158
MEDICARE PTAN
WA
Enumeration date
11/17/2010
Last updated
12/03/2025
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