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Allan J. Ellsworth, PA-C
Medical Physician Assistant in Seattle, Washington
NPI 1649291196

Allan J. Ellsworth is a Medical Physician Assistant based in Seattle, WA and is specialized in Medical. Allan J. Ellsworth practices in Seattle, WA and has the professional credentials of PA-C. The NPI Number for Allan J. Ellsworth is 1649291196 and holds a License No. PA10004406 (Washington).

The current practice location address for Allan J. Ellsworth is 1959 Ne Pacific St, Seattle, WA and can be reached out via phone at 206-598-5618 and via fax at 206-598-5720. You can also correspond with Allan J. Ellsworth through the mailing address at PO BOX 24366, SEATTLE, WA - 98124-0366 (mailing address contact number: 206-598-0502).

Location: 1959 Ne Pacific St, Seattle, WA, 98124-0366
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Provider Profile Details
NPI Number
1649291196
Provider Name
Allan J. Ellsworth
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1959 Ne Pacific St, Seattle, WA, 98124-0366
Phone Number
206-598-5618
Fax Number
206-598-5720
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8356339 05 WA
0170439 01 WA LABOR & INDUSTRY
55843U 01 WA REGENCE BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1959 Ne Pacific St
City
State
Zip
98195-0001
Phone Number
206-598-5618
Fax Number
206-598-5720
person
Provider Business Mailing Address Details
Address
1959 Ne Pacific St
City
State
Zip
98195-0001
Phone Number
206-598-5618
Fax Number
206-598-5720
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004406 (Washington)
Definition
Definition to come...
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