Individual
JAMES ITAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6020 35TH AVE SW, SEATTLE, WA 98126-3002
(206) 548-5850
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61568858
WA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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