Individual
DANIEL WADDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14731 AURORA AVE N, SHORELINE, WA 98133-6547
(206) 365-0220
(206) 365-6436
Mailing address
14731 AURORA AVE N, SHORELINE, WA 98133-6547
(206) 365-0220
(206) 365-6436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8430399
—
WA
Enumeration date
08/30/2005
Last updated
01/07/2008
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