Individual
MR. JEFFREY MICHAEL ROBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21616 76TH AVE W STE 201A, EDMONDS, WA 98026-7512
(425) 673-3400
(425) 673-3401
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60487083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039869
—
WA
01
—
420702
WA LABOR & INDUSTRIES
WA
Enumeration date
07/04/2006
Last updated
07/25/2022
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