Individual
MRS. SHIRLEY ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14731 AURORA AVE N, SHORELINE, WA 98133-6547
(206) 365-0220
(206) 365-6436
Mailing address
14008 81ST AVE NE, BOTHELL, WA 98011-5337
(425) 821-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10003773
STATE LICENSE
WA
Enumeration date
07/26/2006
Last updated
03/07/2023
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