Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Shane Siem, PA-C

Individual provider Surgical Physician Assistant · NPI 1245483569

Michael Shane Siem, PA-C is a Surgical Physician Assistant in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone: (425) 688-5573
Fax: (425) 688-5464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60056591 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60056591 (WA)

Record details

NPI number1245483569
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2008
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748

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