Individual provider · Type 1 NPI

Jack Eisaman, PA-C

Medical Physician Assistant · Stanwood, WA

NPI number 1356794432 Active

Practice location

9631 269th St NW
Stanwood, WA 98292-8071

Call (360) 629-1600 Map

Fax (360) 629-1644

Mailing address

1400 E Kincaid St, Attn: Credentialing
Mount Vernon, WA 98274-4127

Other practice locations

  • 2930 Maple St, Everett, WA 98201-3832 · (425) 261-1500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60686334 (WA)
Medical Physician Assistant Primary 363AM0700XPA60686334 (WA)

Medical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1356794432

Jack Eisaman, PA-C's National Provider Identifier is 1356794432, issued on Jul 13, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stanwood, WA. The record was last updated on Mar 30, 2021.