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ALEX E ANGELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005065
WA
363A00000X
Physician Assistant
TA10005065
WA

Other

Enumeration date
09/13/2006
Last updated
03/22/2021
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