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

JACK HOSTETLER

Active

Physician Assistant · COLFAX, WA

Registration Details

NPI Number
1659259638
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2025 (0.69495300489374 yrs)
Last Updated
Aug 26, 2025

Practice Information

Address
1200 W FAIRVIEW ST
COLFAX, WA, 991119552
Browse WA providers · Browse ZIP 99111
Phone
5093973435
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in COLFAX, WA

Name Credential NPI
MS. RAYLENE LAWRENCE PA-C 1932286531
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.