Most Relevant Information
Provider Data
| NPI Number: | 1003253196 |
| Provider Name: | AMANDA L PEDERSEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA60329868 |
Most Important Dates
| Enumeration Date: | 05/29/2013 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
1959 NE PACIFIC ST
SEATTLE
WA
981959110
Practice Location Phone/Fax
| Phone: | 2065436420 |
| Fax: | 2065205620 |
Provider Mailing Location
PO BOX 50095
SEATTLE
WA
981455095
Provider Mailing Phone/Fax
| Phone: | 2065436420 |
| Fax: | 2065205620 |