Individual provider · Type 1 NPI
Amanda L. Pedersen, PA-C
Surgical Physician Assistant · Seattle, WA
NPI number
1003253196
Active
Practice location
1959 NE Pacific St
Seattle, WA 98195-9110
Fax (206) 520-5620
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other practice locations
- 601 Broadway Ste 600, Seattle, WA 98122-5330 · (206) 386-6171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA60329868 (WA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA60329868 (WA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1003253196
Amanda L. Pedersen, PA-C's National Provider Identifier is 1003253196, issued on May 29, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Jan 23, 2024.