Individual provider · Type 1 NPI

Raul Mendoza, PA-C

Medical Physician Assistant · Othello, WA

NPI number 1760805568 Active

Practice location

1515 E Columbia St
Othello, WA 99344-1846

Call (509) 488-5256 Map

Fax (509) 488-9939

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60425763 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1760805568

Raul Mendoza, PA-C's National Provider Identifier is 1760805568, issued on Jan 29, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Othello, WA. The record was last updated on Feb 17, 2020.