Provider Demographics
NPI:1467786301
Name:INGLIN, BARBARA J (PA-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:INGLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13553 NE 54TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1037
Mailing Address - Country:US
Mailing Address - Phone:425-754-9015
Mailing Address - Fax:425-702-5770
Practice Address - Street 1:13553 NE 54TH PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1037
Practice Address - Country:US
Practice Address - Phone:425-754-9015
Practice Address - Fax:425-702-5770
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA 60107156363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant