Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS RUSSELL PRIESKORN, PA-C
ActiveMR. THOMAS RUSSELL PRIESKORN, PA-C is a Medical Physician Assistant healthcare provider located in SHELTON, Washington. NPI 1366421174 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SHELTON, WA
Registration Details
- NPI Number
- 1366421174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.553631733092 yrs)
- Last Updated
- Mar 3, 2015
- License
-
PA10004942 (WA)
Practice Information
- Address
-
901 MOUNTAIN VIEW DRSHELTON, WA, 985844401Browse WA providers · Browse ZIP 98584
- Phone
- 3604261611
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SHELTON, WA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHRYN P HACKNEY | PAC | 1639166176 |
| LISA CAROL RIBERA | PA-C | 1922165513 |
| MR. CHARLES TIFFANY BARRET | P.A.-C. | 1821113119 |
| MARK A. FLORES | PA-C | 1063634277 |
| RUSSELL R. AMARU | PA-C | 1942530647 |
| LADD DOUGLAS RUTHERFORD JR. | PA-C | 1235809005 |
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.