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Glenn Mahoney, PAC
NPI 1841263365 · on the registry since 2006
Practice
- Address
- 8910 Vernon Road
Lake Stevens, WA 98258 - Phone
- (425) 335-0966
- Fax
- (425) 335-5145
- Organisation at this address
- Optum Care Washington Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Medical Physician Assistant
Medical Physician Assistant - Licence states on file
- NV, WA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-17
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