Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA MADISON GUSTAFSON, PAC
ActiveSAMANTHA MADISON GUSTAFSON, PAC is a Medical Physician Assistant healthcare provider located in NEWPORT, Washington. NPI 1376262246 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NEWPORT, WA
Registration Details
- NPI Number
- 1376262246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2022 (3.7927700824799 yrs)
- Last Updated
- Jun 10, 2024
- License
-
PA61488948 (WA)
Practice Information
- Address
-
714 W PINE ST BLDG CNEWPORT, WA, 991569046Browse WA providers · Browse ZIP 99156
- Phone
- 5094473139
- Fax
- 5098978597
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in NEWPORT, WA
| Name | Credential | NPI |
|---|---|---|
| KEITH E BELL | PAC | 1932394772 |
| ERIC LLOYD RENK | PA-C | 1568659910 |
| CHRISTOPHER BUSCHER | PA-C | 1265718852 |
| KARLA RIVERA | PA-C | 1437570280 |
| LAURA REBECCA NOYES | — | 1851060149 |
| JONATHAN MCCORD | PA-C | 1033889829 |
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.