Deirdre Joan Gately, PA-C
Physician Assistant in Lynnwood, WA. Individual provider (NPI-1).
NPI number1730398249
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1730398249
- Entity type
- Individual (NPI-1)
- Name
- Deirdre Joan Gately
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2007
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003928 | WA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA10003928 | WA |
Practice location
2518 196th St SwLynnwood, WA 98036-6970
Phone 425-673-7062
Mailing address
2518 196th St SwLynnwood, WA 98036-6970
Phone 425-673-7062
Other practice locations
20200 54th Ave W
Lynnwood, WA 98036-6318
Lynnwood, WA 98036-6318
Phone 425-672-6400 · Fax 425-672-6518
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