| Doctor Name: | MS. MARILYN COSTAS BORROMEO-WESNER |
| NPI Number: | 1205908498 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007479 |
| Business Practice Address: | 1830 Bickford Ave Suite 211 Snohomish, WA - 982901749 |
| Business Phone Number: | 3606681820 |
| Business Fax Number: | 3606681825 |
| Mailing Address: | Po Box 3360, PORTLAND |
| State: | OR |
| Postal Code: | 972083360 |
| Phone Number: | 8663662983 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30007479 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |