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Individual

SHAUNA M RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004765
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10004765
WA

Other

Enumeration date
02/26/2007
Last updated
06/22/2021
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