Individual provider · Type 1 NPI

Tisha Pae

Student in an Organized Health Care Education/Training Program · Mill Creek, WA

NPI number 1649755026 Active

Practice location

16222 Bothell Everett Hwy
Mill Creek, WA 98012-1520

Call (425) 741-8649 Map

Mailing address

1959 NE Pacific St
Seattle, WA 98195-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649755026

Tisha Pae's National Provider Identifier is 1649755026, issued on Oct 1, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mill Creek, WA. The record was last updated on Oct 1, 2018.