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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN ERIK TEDFORD, PA-C

Active

SHAWN ERIK TEDFORD, PA-C is a Physician Assistant healthcare provider located in BREMERTON, Washington. NPI 1063449072 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BREMERTON, WA

Registration Details

NPI Number
1063449072
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2006 (20.09565852725 yrs)
Last Updated
Mar 7, 2023
Licenses
PA2007-0004 (NM)
PA2007-0004 (NM)
PA2007-0004 (NM)
PA10003756 (WA)

Practice Information

Address
1225 CAMPBELL WAY STE 201
BREMERTON, WA, 983103323
Browse WA providers · Browse ZIP 98310
Phone
3603771355
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BREMERTON, WA

Name Credential NPI
JOSEPH P GOULARTE JR. 1558334425
JOSEPH A DERICCO PA-C 1790751543
SONJA MARIA PIBER P.A.-C 1902815004
JACQUELINE MCGRATH PA-C 1356438865
MICHAEL LAWRENCE CHERNEKOFF PA-C 1356429716
HEIDI LUNDEEN PAC 1053465765
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.