NPI 1003266305

Courtney Jo Sanderson

Practitioner Physician Assistant Seattle, WA

Practice location

Address: 825 Eastlake Ave E, Seattle, WA 98109-4405
Phone: (206) 288-1000
Mailing address: PO Box 50095, Seattle, WA 98145-5095

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA60685366 (WA)

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Registry record

NPI: 1003266305
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2016
Record last updated: 10 Nov 2016

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.