Individual
ROBIN JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9709 3RD AVE NE, SUITE 309, SEATTLE, WA 98115
(206) 729-7315
(866) 895-7142
Mailing address
21906 NE 150TH ST, WOODINVILLE, WA 98077-7292
(860) 992-9150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60521692
WA
363AM0700X
Medical Physician Assistant
002276
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002276
STATE LICENSE
CT
01
—
PA60521692
WA STATE
WA
Enumeration date
07/21/2009
Last updated
04/20/2015
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