Individual provider · Type 1 NPI

Jason Scott Graeme, PA-C

Surgical Physician Assistant · Longview, WA

NPI number 1609917160 Active

Practice location

1615 Delaware St
Longview, WA 98632-2367

Fax (360) 414-2714

Mailing address

200 NE Mother Joseph Pl, Ste 210
Vancouver, WA 98664-3295

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA60240564 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60240564 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1609917160

Jason Scott Graeme, PA-C's National Provider Identifier is 1609917160, issued on Feb 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Longview, WA. The record was last updated on Jul 14, 2021.