Individual
FORTUNATO PLACENCIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6808 220TH ST SW STE 201, MOUNTLAKE TERRACE, WA 98043-2187
(425) 640-6976
Mailing address
427 MISSION AVE, CASHMERE, WA 98815-1052
(509) 881-4395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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