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Individual

MICHAEL VINCENT RAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6198
(206) 341-0951
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 223-6198
(206) 341-0951

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60602809
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60602809
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922400407
WA
05
2049086
WA
Enumeration date
09/16/2014
Last updated
02/11/2026
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