Individual
ALEXANDRA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(412) 849-6566
Mailing address
19724 MERIDIAN PL W, BOTHELL, WA 98012-5289
(412) 849-6566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA057435
PA
363AM0700X
Medical Physician Assistant
Primary
PA60761450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8967645
MEDICARE PIN
WA
Enumeration date
03/13/2015
Last updated
11/14/2023
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