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Individual

BRIANNA LAYNE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4294
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(844) 620-1839

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60282940
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932467586
WA
Enumeration date
05/01/2012
Last updated
12/07/2022
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