Individual
ELIZABETH JANE JUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17722 TALBOT RD S, RENTON, WA 98055-5744
(425) 690-3479
(425) 690-9479
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55775
CA
363A00000X
Physician Assistant
Primary
PA61071777
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2018
Last updated
03/11/2021
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