Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS EDISON WEST, PAC
ActiveDOUGLAS EDISON WEST, PAC is a Physician Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1104884295 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WALLA WALLA, WA
Registration Details
- NPI Number
- 1104884295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.269277318271 yrs)
- Last Updated
- Mar 1, 2021
- License
-
PA10003131 (WA)
Practice Information
- Address
-
301 W POPLAR STSTE 220WALLA WALLA, WA, 993622858Browse WA providers · Browse ZIP 99362
- Phone
- 5095221030
- Fax
- 5095296066
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| KENNETH V BUSBY | B.S. / B.A. | 1508830423 |
| DEREK E SUCHARDA | PAC | 1639282981 |
| MR. HERBERT L SMEED | P.A. | 1457466187 |
| KENNETH E MOORE | PA C | 1013023407 |
| JAMES A HANSEN | PA C | 1861504243 |
| MRS. ROCHELLE A, TRUSSELL | PA-C | 1831270065 |
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.