Individual provider · Type 1 NPI
Samantha Madison Gustafson, PAC
Medical Physician Assistant · Newport, WA
NPI number
1376262246
Active
Practice location
714 W Pine St Bldg C
Newport, WA 99156-9046
Fax (509) 897-8597
Mailing address
714 W Pine St
Newport, WA 99156-9046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA61488948 (WA) |
Medical Physician Assistant: Definition to come...
9 other providers at this address
- Aaron Reinke, MDFamily Medicine Physician Newport, WA NPI 1063823375
- Benedict Beam, PACMedical Physician Assistant Newport, WA NPI 1679291371
- Eric Lloyd Renk, PA-CMedical Physician Assistant Newport, WA NPI 1568659910
- James Alan Vandersloot, DOObstetrics & Gynecology Physician Newport, WA NPI 1275518136
- Jennifer Stout-Willett, LICSWClinical Social Worker Newport, WA NPI 1215423488
- Kevin McNamee, MDFamily Medicine Physician Newport, WA NPI 1437771169
- Laura Rebecca NoyesMedical Physician Assistant Newport, WA NPI 1851060149
- Madison Lily Stewart, LICSWClinical Social Worker Newport, WA NPI 1932600111
- Taylor Katherine Stewart, MDFamily Medicine Physician Newport, WA NPI 1790245165
Other medical physician assistant providers in Newport
- Jonathan McCord, PA-CMedical Physician Assistant Newport, WA NPI 1033889829
- Mikaela Louise Corigliano, PA-CMedical Physician Assistant Newport, WA NPI 1205709441
- Christopher Buscher, PA-CMedical Physician Assistant Newport, WA NPI 1265718852
- Karla Rivera, PA-CMedical Physician Assistant Newport, WA NPI 1437570280
- Caitlin Murray, PACMedical Physician Assistant Newport, WA NPI 1487561478
- Eric Lloyd Renk, PA-CMedical Physician Assistant Newport, WA NPI 1568659910
- Benedict Beam, PACMedical Physician Assistant Newport, WA NPI 1679291371
- Laura Rebecca NoyesMedical Physician Assistant Newport, WA NPI 1851060149
About NPI 1376262246
Samantha Madison Gustafson, PAC's National Provider Identifier is 1376262246, issued on Aug 24, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport, WA. The record was last updated on Jun 10, 2024.