Individual
ELI PATRICK BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(408) 806-6878
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2020
Last updated
08/18/2021
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