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

MR. DAVEN MARCEL PANTOHAN, PA-C

Active

MR. DAVEN MARCEL PANTOHAN, PA-C is a Physician Assistant healthcare provider located in EVERETT, Washington. NPI 1235531393 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EVERETT, WA

Registration Details

NPI Number
1235531393
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2014 (11.908079900093 yrs)
Last Updated
Aug 23, 2021
Licenses
PA60611622 (WA)
60611622 (WA)

Practice Information

Address
3726 BROADWAY STE 201
EVERETT, WA, 982013788
Browse WA providers · Browse ZIP 98201
Phone
4253179119
Fax
4253179118
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EVERETT, WA

Name Credential NPI
MRS. ANNA STURM PA-C 1225037773
MR. JUDE FARRELL PATTON PA-C 1417920810
MR. EDWARD SWENSEN PA 1871560292
MARGARET B HELLER PAC 1457317141
NICHOLAS TAMBURRI PA-C 1174572044
RAM SHARMA PA-C 1467402701
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.