Individual
MS. MARA O'SHEA LINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216-1138
(509) 363-3100
Mailing address
PO BOX 808, VERADALE, WA 99037-0808
(509) 363-3100
(509) 363-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA61307027
PA LICENSE
WA
Enumeration date
05/12/2022
Last updated
07/17/2023
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