Individual provider · Type 1 NPI

Vitaliy Berezhnoy, PA-C

Medical Physician Assistant · Port Townsend, WA

NPI number 1235465345 Active

Practice location

834 Sheridan St
Port Townsend, WA 98368-2443

Call (360) 385-2200 Map

Fax (360) 344-0411

Mailing address

20123 Sunnyside Dr N Apt D301
Shoreline, WA 98133-2749

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60115672 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1235465345

Vitaliy Berezhnoy, PA-C's National Provider Identifier is 1235465345, issued on Oct 23, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Townsend, WA. The record was last updated on Oct 23, 2009.