Individual
MEGAN E LANDIS FERESTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12911 120TH AVE NE STE G100, KIRKLAND, WA 98034
(258) 994-1444
Mailing address
12911 120TH AVE NE STE G100, KIRKLAND, WA 98034-3027
(258) 994-1444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005274
WA
Other
Enumeration date
10/11/2007
Last updated
07/10/2018
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