Individual
BEVERLY L LINKLETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR AND INDUSTRIES#
WA
01
—
1094LI
BLUE SHIELD#
WA
05
—
8412736
—
WA
01
—
US5144495
AETNA SPECIALIST PIN
WA
Enumeration date
02/02/2007
Last updated
04/08/2008
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