KYLE M. RICHTER


Address: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299
Phone: 3602546161

KYLE M. RICHTER (NPI# 1093751703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093751703
Entity Type Individual
Full Name KYLE M. RICHTER
Credential P.A.-C.
Practice Address 200 Ne Mother Joseph Pl
Suite 110
Vancouver
WA 98664-3299
Mailing Address 200 Ne Mother Joseph Pl
Suite 210
Vancouver
WA 98664-3299
Practice Telephone 3602546161
Practice Fax Number 3604491146
Mailing Telephone 3602546161
Mailing Fax Number 3604491139
Enumeration Date 2006-06-21
Last Update Date 2007-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10004033 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8355224 05

Other Providers KYLE RICHTER

NPI Name Taxonomy Address Enumeration
1710089768 Kyle Richter Physician Assistant 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 2006-09-01

Office Location

Street Address 200 NE MOTHER JOSEPH PL
SUITE 110
City VANCOUVER
State WA
Zip Code 98664-3299

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457343766 Laura Deesha Ramme Physician Assistant 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 2005-08-22
1154874956 Brody Kadow Physician Assistant 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 2016-07-27
1831642818 Erik Lehrbach Physician Assistant 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 2016-07-26
1497007983 Matthew Earnest Nipper Clinical Exercise Physiologist 200 Ne Mother Joseph Pl, Physicians Pavilion, Ste 400, Vancouver, WA 98664-3299 2012-10-08
1104187384 James Webster Physical Therapist 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 2012-06-04
1043502560 Deven A Karvelas Physical Medicine & Rehabilitation 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3299 2011-05-03
1588969984 Lindsay Rae Pfender Physician Assistant 200 Ne Mother Joseph Pl, Ste 110, Vancouver, WA 98664-3299 2011-01-14
1922302942 Janell Louise Riepma Nurse Practitioner 200 Ne Mother Joseph Pl, Suite 400, Vancouver, WA 98664-3299 2011-01-05
1285946079 Jonathan Garrett Matthews Physician Assistant 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 2010-07-08
1649508805 Bret Allen Lautt Physical Therapist 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 2009-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457343766 Laura Deesha Ramme Physician Assistant 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 2005-08-22
1447720974 Elizabeth A Eldenburg Physician Assistant 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 2018-11-27
1073996823 Grace Deng Physician Assistant 505 Ne 87th Ave, Building A Suite 250, Vancouver, WA 98664-1989 2015-06-29
1164804647 Jenny Lou Eldredge Physician Assistant 400 Ne Mother Joseph Place, Vancouver, WA 98664 2015-06-22
1194969717 Mary-colleen D. Zucconi Physician Assistant 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664 2009-04-27
1982899365 Jennifer D Hermes Physician Assistant 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 2007-09-10
1881702033 Michael Walter Hibbs Physician Assistant 203 Se Park Plaza Dr, Vancouver, WA 98684-5886 2006-08-28
1225074990 Bonnie L. Rosenfeld Physician Assistant 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 2006-06-21
1285670885 Brett A. Rasmussen Physician Assistant 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 2006-06-21
1912942079 Christopher E. Carson Physician Assistant 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 2006-06-20
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Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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