Mr Ethan D Washburn, PA-C | |
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
(509) 793-9770 | |
Not Available |
Full Name | Mr Ethan D Washburn |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1550 S Pioneer Way, Moses Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003142936 | NPI | - | NPPES |
2004464 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA60120190 (Washington) | Secondary |
363A00000X | Physician Assistant | PA60120190 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Ethan D Washburn, PA-C 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Mr Ethan D Washburn, PA-C 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9770 |
Chloe Noel Kesterson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Joseph Hancock, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9789 Fax: 509-764-3266 | |
Tracy L Estrellado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Ms. Jennipher Colas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Corbin Moberg, Physician Assistant Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-793-9785 Fax: 509-764-0344 | |
Mitchell David Valente, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3244 |