Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY C. GULSTROM, PA- C
ActiveTY C. GULSTROM, PA- C is a Physician Assistant healthcare provider located in MOUNT VERNON, Washington. NPI 1558306373 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNT VERNON, WA
Registration Details
- NPI Number
- 1558306373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (20.145449399415 yrs)
- Last Updated
- Feb 18, 2015
- Licenses
-
PA10004348 (WA)PA10004348 (WA)PA10004348 (WA)
Practice Information
- Address
-
1400 E. KINCAID STREETMOUNT VERNON, WA, 982744127Browse WA providers · Browse ZIP 98274
- Phone
- 3604286434
- Fax
- 3608484233
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in MOUNT VERNON, WA
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD LOUIS GERLACH | PA-C | 1629076591 |
| MARK S VOLLRATH | PA-C | 1184623423 |
| IVORY V LARRY | PA-C | 1932109691 |
| FRED H. RENCO | PA-C | 1922062090 |
| ROBERT JAMES ROGERS | P.A.-C | 1669426417 |
| KATHLEEN MARY O'NEILL | PAC | 1518914811 |
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.