Individual
SUSAN EDWARDS WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
05
—
8369878
—
WA
01
—
US0818537
AETNA SPECIALIST PIN
WA
01
—
WE9017
BLUE SHIELD #
WA
Enumeration date
11/06/2006
Last updated
04/08/2008
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