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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60240564 (WA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA60240564 (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.