Individual provider · Type 1 NPI

Patrick Russell Tutt, PA-C

Medical Physician Assistant · Enumclaw, WA

NPI number 1881112910 Active

Practice location

1455 Battersby Ave
Enumclaw, WA 98022-3634

Fax (253) 426-6344

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60797427 (WA)
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA60797427 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1881112910

Patrick Russell Tutt, PA-C's National Provider Identifier is 1881112910, issued on Sep 8, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Enumclaw, WA. The record was last updated on Sep 9, 2021.