NPI 1003142936

Ethan D Washburn, PAC

Practitioner Physician Assistant Moses Lake, WA

Practice location

Address: 1550 S Pioneer Way, Moses Lake, WA 98837-4613
Phone: (509) 793-9770
Mailing address: 660 S Coolidge St, Moses Lake, WA 98837-1872

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA60120190 (WA)

Other Physician Assistant providers in Washington →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA60120190 (WA)

Registry record

NPI: 1003142936
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2009
Record last updated: 21 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.