Doctor Name: | SEJAL ASHWIN PATEL |
NPI Number: | 1013225226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA60489930 |
Business Practice Address: | 700 Ne 87th Ave Vancouver, WA - 986641913 |
Business Phone Number: | 3608822778 |
Business Fax Number: | 3606041785 |
Mailing Address: | Po Box 873010, VANCOUVER |
State: | WA |
Postal Code: | 986873010 |
Phone Number: | 3608822778 |
Fax Number: | 3606041737 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA60489930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |