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Individual

JEANETTE PAIGE KOTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.,C.; A.T., C

Contact information

Practice address
920 1ST AVE N, APT 316, SEATTLE, WA 98109-5614
(206) 987-1053
(206) 987-3852
Mailing address
4800 SAND POINT WAY NE, OCEANS 9, SEATTLE, WA 98105-3901
(206) 987-1053
(206) 987-3852

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
A160047241
WA
363A00000X
Physician Assistant
Primary
PA60115674
WA

Other

Enumeration date
01/24/2007
Last updated
11/04/2016
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