Individual provider · Type 1 NPI

Michaela Etherton, PA-S

Surgical Physician Assistant · Vancouver, WA

NPI number 1619586153 Active

Practice location

200 NE Mother Joseph Pl Ste 300
Vancouver, WA 98664-3296

Call (360) 254-6161 Map

Fax (360) 803-0847

Mailing address

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

Other practice locations

  • 2121 NE 139th St Ste 300, Vancouver, WA 98686-2316 · (360) 254-6161

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA61229907 (WA)
Surgical Physician Assistant Primary 363AS0400XPA61229907 (WA)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1619586153

Michaela Etherton, PA-S's National Provider Identifier is 1619586153, issued on Jul 30, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vancouver, WA. The record was last updated on Jan 16, 2026.