Individual provider · Type 1 NPI

Paul David Mortlock, PA-C

Medical Physician Assistant · Vancouver, WA

NPI number 1376506733 Active

Practice location

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200

Call (360) 892-9664 Map

Fax (360) 892-9667

Mailing address

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748

Other practice locations

  • 2101 NE 139th St Ste 380, Vancouver, WA 98686-2309 · (360) 487-1888

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA10004695 (WA)
Medical Physician Assistant Primary 363AM0700XPA10004695 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1376506733

Paul David Mortlock, PA-C's National Provider Identifier is 1376506733, issued on Apr 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vancouver, WA. The record was last updated on Aug 29, 2024.