Most Relevant Information
Provider Data
| NPI Number: | 1003266305 |
| Provider Name: | COURTNEY JO SANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA60685366 |
Most Important Dates
| Enumeration Date: | 06/16/2016 |
| Last Updated: | 11/10/2016 |
Provider Practice Location
825 EASTLAKE AVE E
SEATTLE
WA
981094405
Practice Location Phone/Fax
| Phone: | 2062881000 |
| Fax: |
Provider Mailing Location
PO BOX 50095
SEATTLE
WA
981455095
Provider Mailing Phone/Fax
| Phone: | 2065436420 |
| Fax: |