Individual provider · Type 1 NPI

Justin Mandeville, PA-C

Physician Assistant · Yelm, WA

NPI number 1073019550 Active

Practice location

9391 Prarrie Wind St
Yelm, WA 98597

Mailing address

Bldg 11582 C Street, Okubo Clinic
Jblm, WA 98433

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

About NPI 1073019550

Justin Mandeville, PA-C's National Provider Identifier is 1073019550, issued on Apr 3, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Yelm, WA. The record was last updated on Jul 25, 2023.