Individual
ROBERTA A PAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD00014725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6351
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8362006
—
WA
Enumeration date
10/17/2006
Last updated
07/08/2007
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