NPI 1013154038

Michael Severin Shultis, PAC

Practitioner Physician Assistant Yakima, WA

Practice location

Address: 111 S 11th Ave STE 320, Yakima, WA 98902-3273
Phone: (509) 454-8888
Fax: (509) 453-0061
Mailing address: PO Box 2309, Yakima, WA 98907-2309

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA60205742 (WA)

Other Physician Assistant providers in Washington →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA60205742 (WA)

Registry record

NPI: 1013154038
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2009
Record last updated: 26 Jan 2023

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.