Individual provider · Type 1 NPI

Kassidy Noelle Brugman, PA-C

Physician Assistant · Battle Ground, WA

NPI number 1336800168 Active

Practice location

101 NW 12th Ave Ste 107
Battle Ground, WA 98604-9141

Mailing address

9704 NE 150th Ave
Vancouver, WA 98682-2779

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNC60791384 (WA)
Physician Assistant Primary 363A00000XPA.PA.61689173 (WA)
Phlebotomy Technician 246RP1900XPC61239792 (WA)

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 1336800168

Kassidy Noelle Brugman, PA-C's National Provider Identifier is 1336800168, issued on Jan 4, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Battle Ground, WA. The record was last updated on Jun 16, 2025.