Individual
SUSAN T VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
380 WINSLOW WAY E, BAINBRIDGE ISLAND, WA 98110-2424
(206) 842-5631
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
4156VA
BLUE SHIELD #
WA
05
—
8368383
—
WA
01
—
P00044828
RAILROAD MC#
WA
01
—
US7075460
AETNA SPECIALIST PIN
WA
Enumeration date
01/25/2007
Last updated
04/16/2008
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