NPI 1003253196

Amanda L Pedersen, PAC

Practitioner Surgical Physician Assistant Seattle, WA

Practice location

Address: 1959 NE Pacific St, Seattle, WA 98195-9110
Phone: (206) 543-6420
Fax: (206) 520-5620
Mailing address: PO Box 50095, Seattle, WA 98145-5095

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA60329868 (WA)

Other Physician Assistant providers in Washington →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA60329868 (WA)

Registry record

NPI: 1003253196
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2013
Record last updated: 23 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.