Individual
MOLLY ELIZABETH MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
(253) 426-6250
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10004851
WA
363A00000X
Physician Assistant
Primary
PA10004851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200067
LIWA
WA
01
—
5123MO
BSWA
WA
05
—
8431256
—
WA
01
—
MON1977
USER
WA
01
—
Q26691
UPIN
WA
Enumeration date
05/25/2006
Last updated
04/18/2019
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