Individual provider · Type 1 NPI
Abraham Velasco Bustamante, PA
Medical Physician Assistant · Omak, WA
NPI number
1669293908
Active
Practice location
1003 Koala Dr
Omak, WA 98841-9247
Mailing address
90 Golden Rd
Oroville, WA 98844-9766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1669293908
Abraham Velasco Bustamante, PA's National Provider Identifier is 1669293908, issued on Oct 21, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Omak, WA. The record was last updated on Dec 11, 2024.