Provider Demographics
NPI:1669839064
Name:SCHMAING, ASHLEY RENAE (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENAE
Last Name:SCHMAING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:VISSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 24105
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0105
Mailing Address - Country:US
Mailing Address - Phone:425-903-3141
Mailing Address - Fax:
Practice Address - Street 1:3900 FACTORIA BLVD SE
Practice Address - Street 2:STE A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1234
Practice Address - Country:US
Practice Address - Phone:425-903-3141
Practice Address - Fax:425-903-3142
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60611636363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant