Individual
ELYSIA BETHANY LOUISE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RDMS
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60704137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0367811
L&I-RADIA-REST OF WA
WA
01
—
0367812
L&I-RADIA-SEATTLE
WA
01
—
0367813
L&I-SWEDISH RADIA
WA
01
—
0367814
L&I-EVERGREEN RADIA
WA
05
—
2069183
—
WA
Enumeration date
08/27/2015
Last updated
03/31/2021
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