Individual provider · Type 1 NPI

Tanner James Vick, PA-C

Surgical Physician Assistant · Everett, WA

NPI number 1487632667 Active

Practice location

1330 Rockefeller Ave, Ste 520
Everett, WA 98201-1684

Call (425) 297-5200 Map

Fax (425) 297-5210

Mailing address

PO Box 3360, Providence Health & Services
Portland, OR 97208-3360

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA10004747 (WA)
Surgical Physician Assistant Primary 363AS0400XPA10004747 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1487632667

Tanner James Vick, PA-C's National Provider Identifier is 1487632667, issued on Jan 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Everett, WA. The record was last updated on Apr 28, 2021.