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Michael Shane Siem, PA-C
Physician Assistant in Bellevue, Washington
NPI 1245483569

Michael Shane Siem is a Physician Assistant based in Lynnwood, WA. Michael Shane Siem practices in Bellevue, WA and has the professional credentials of PA-C. The NPI Number for Michael Shane Siem is 1245483569 and holds a License No. PA60056591 (Washington).

The current practice location address for Michael Shane Siem is 1035 116Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-688-5573 and via fax at 425-688-5464.

Location: 1035 116Th Ave Ne, Bellevue, WA, 98036-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245483569
Provider Name
Michael Shane Siem
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1035 116Th Ave Ne, Bellevue, WA, 98036-4748
Phone Number
425-688-5573
Fax Number
425-688-5464
Provider Enumeration Date
10/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0377413 01 WA L&I-RADIA KING COUNTY
0377409 01 WA L&I-RADIA REST OF WA
0377427 01 WA L&I-SWEDISH RADIA EDMONDS
2011887 05 WA
0377418 01 WA L&I-EVERGREEN RADIA
institution
Provider Business Practice Location Address Details
Address
1035 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-4604
Phone Number
425-688-5573
Fax Number
425-688-5464
person
Provider Business Mailing Address Details
Address
1035 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-4604
Phone Number
425-688-5573
Fax Number
425-688-5464
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60056591 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA60056591 (Washington)
Definition
Definition to come...
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