Individual provider · Type 1 NPI

Kathleen Ryan Ponsford, PA-C

Medical Physician Assistant · Vancouver, WA

NPI number 1053548669 Active

Practice location

305 SE Chkalov Dr Ste 170
Vancouver, WA 98683

Call (360) 787-7135 Map

Fax (360) 799-3913

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice locations

  • 2005 W Main St, Battle Ground, WA 98604-4311 · (360) 882-2778

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60090604 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1053548669

Kathleen Ryan Ponsford, PA-C's National Provider Identifier is 1053548669, issued on Jun 22, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vancouver, WA. The record was last updated on Jun 13, 2018.