| Doctor Name: | EMILY JEAN MALDONADO |
| NPI Number: | 1053523852 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C. |
| License Number: | OA10000152 |
| Business Practice Address: | 801 N. Montesano St. Westport, WA - 98595 |
| Business Phone Number: | 3602680195 |
| Business Fax Number: | 3602681442 |
| Mailing Address: | Po Box 2229, WESTPORT |
| State: | WA |
| Postal Code: | 985952229 |
| Phone Number: | 3602682517 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 02/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA10000152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |