Individual
LINDA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2505 2ND AVE, SUITE 200, SEATTLE, WA 98121-1452
(206) 520-1500
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8356461
—
WA
01
—
P00012915
RAILROAD MEDICARE
WA
Enumeration date
03/15/2007
Last updated
06/30/2015
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