Provider Demographics
NPI:1447321039
Name:BARTEN, PAMELA DIAZ (ARNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:DIAZ
Last Name:BARTEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24547
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0547
Mailing Address - Country:US
Mailing Address - Phone:800-769-0045
Mailing Address - Fax:
Practice Address - Street 1:1105 S 348TH ST
Practice Address - Street 2:SUITE B103
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7027
Practice Address - Country:US
Practice Address - Phone:253-661-7002
Practice Address - Fax:253-661-9132
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily