| Doctor Name: | MS. MANDI L BAINTON |
| NPI Number: | 1124352703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA60115668 |
| Business Practice Address: | 6005 244th St Sw Ste 111 Mountlake Terrace, WA - 980435400 |
| Business Phone Number: | 4252755555 |
| Business Fax Number: | 4252755590 |
| Mailing Address: | 6005 244th St Sw, Ste 111 MOUNTLAKE TERRACE |
| State: | WA |
| Postal Code: | 980435400 |
| Phone Number: | 4252755555 |
| Fax Number: | 4252755590 |
| NPI Enumeration Date: | 09/29/2009 |
| NPI Last Update Date: | 09/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA60115668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |