Individual provider · Type 1 NPI

Mary Burnell, PA-C

Physician Assistant · Vancouver, WA

NPI number 1124416508 Active

Practice location

8614 E Mill Plain Blvd Ste 400
Vancouver, WA 98664-2092

Fax (360) 254-6089

Mailing address

8614 E Mill Plain Blvd, Ste 400
Vancouver, WA 98664-2092

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA170904 (OR)

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…

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About NPI 1124416508

Mary Burnell, PA-C's National Provider Identifier is 1124416508, issued on Jan 7, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on May 11, 2026.