Individual
MICHELLE ANN STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4011 TALBOT RD S, SUITE 300, RENTON, WA 98055-5773
(425) 656-5060
(425) 656-5047
Mailing address
4011 TALBOT RD S, SUITE 300, RENTON, WA 98055-5773
(425) 656-5060
(425) 656-5047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006167
GA
363AS0400X
Surgical Physician Assistant
Primary
PA60539003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I970157
MEDICARE PTAN
GA
Enumeration date
07/06/2011
Last updated
04/15/2015
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