LILLIAN BALDWIN BOURRET


Address: 6317 Linden Ave N, Seattle, WA 98103-5658
Phone: 2066371905

LILLIAN BALDWIN BOURRET (NPI# 1861987992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861987992
Entity Type Individual
Full Name LILLIAN BALDWIN BOURRET
Credential PA-C
Practice Address 6317 Linden Ave N
Seattle
WA 98103-5658
Practice Telephone 2066371905
Mailing Telephone 2066371905
Enumeration Date 2018-07-01
Last Update Date 2019-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA61001225 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6317 Linden Ave N, Seattle, WA 981035658 2066371905

Office Location

Street Address 6317 LINDEN AVE N
City SEATTLE
State WA
Zip Code 98103-5658

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1841844529 Devin Bard Counselor 819 N 49th St, Suite 229, Seattle, WA 98103 2019-07-30
1811453343 Matkel Corporation Massage Therapist 4459 Fremont Ave N Ste 2, Seattle, WA 98103 2019-02-20
1063980381 Dennis Gordon Grove Counselor 701 N 36th St, Ste 300, Seattle, WA 98103 2018-11-05
1962994681 Taja Estrada Psychologist 7222 Linden Avenue N, Suite A, Seattle, WA 98103 2018-05-30
1073015129 Kelly A Robison Massage Therapist 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 2018-03-05
1609387927 Andrew Rogers Counselor 1307 North 45th Street, Suite 200, Seattle, WA 98103 2017-10-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
1548402209 Loverne Greg De Venecia Jimenez Physician Assistant James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 2009-03-27
1679506737 Gerald M Strode Physician Assistant 521 Wall St, Seattle, WA 98121-1524 2006-07-09
1023049905 Kari A. Schmitz Physician Assistant 3725 Sw Prescott Pl, Seattle, WA 98126-2042 2006-07-06
1528007069 Claudia M Kalotay Physician Assistant 901 Boren Ave #800, Seattle, WA 98104 2006-06-06
1386681815 Paul Richard Halkett Physician Assistant Pbs Building, 401 Broadway, Seattle, WA 98122 2006-06-01
1851361646 Irina E Penev Physician Assistant 550 17th Ave Fl 6, Seattle, WA 98122-5788 2006-01-24
1174123939 Kaitlin C Fitzgerald Physician Assistant 325 9th Ave, Seattle, WA 98104-2420 2020-10-29
1841833431 Samuel Bobek Pllc Physician Assistant 600 Broadway Ste 460, Seattle, WA 98122-5312 2019-10-25
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Competitor

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City SEATTLE
Zip Code 98103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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