Individual
MR. AUSTIN C LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 BROADWAY STE 600, SEATTLE, WA 98122-5330
(206) 386-6171
(206) 860-6634
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61414352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269758
—
WA
Enumeration date
04/10/2019
Last updated
01/22/2024
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