IndividualActive
Suzanne Miner, PAC
NPI 1124210612 · Physician Assistant · Issaquah, WA
Provider details
- NPI number
- 1124210612
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA10005212 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
450 Nw Gilman Blvd
Suite 301a
Issaquah, WA 98027-2483
Phone: (425) 654-1275
Fax: (425) 654-0539
Street-level locationGet directions
Mailing address
14239 W Bell Rd
Surprise, AZ 85374-2470
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2017-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.