| Doctor Name: | AMANDA VICHAS |
| NPI Number: | 1023322997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP 60137135 |
| Business Practice Address: | 302 36th St Bellingham, WA - 982256580 |
| Business Phone Number: | 3607569793 |
| Business Fax Number: | 3607529007 |
| Mailing Address: | 1705 237th Pl Sw, BOTHELL |
| State: | WA |
| Postal Code: | 980219468 |
| Phone Number: | 2062612984 |
| Fax Number: | 4254822163 |
| NPI Enumeration Date: | 08/03/2010 |
| NPI Last Update Date: | 08/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP 60137135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |