Search › Washington › 363AS0400X

Melody Fan, PA-C

NPI 1548308398 · on the registry since 2007

Practice

Address
1135 116th Ave Ne
Suite 620
Bellevue, WA 98004
Phone
(425) 454-8016
Fax
(425) 453-2827
Organisation at this address
Eiji Minami
Walgreen Co
Sharpevision Pllc
Childrens Hospital
Overlake Neurology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
136

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AM0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington