MR. DAVID MICHAEL PASTICK (NPI# 1477593341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477593341 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL PASTICK |
| Credential | PAC |
| Practice Address |
100 E 33rd St Ste 100 Vancouver WA 98663-2776 |
| Mailing Address |
Po Box 1600 100 E. 33rd Street, Suite 100 Vancouver WA 98668-1600 |
| Practice Telephone | 3605147550 |
| Practice Fax Number | 3605147553 |
| Mailing Telephone | 3605147550 |
| Mailing Fax Number | 3605147553 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10002264 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8131195 | 05 |
| Street Address |
100 E 33RD ST STE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480949 | Jack E Long | Internal Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2006-06-03 |
| 1457971244 | Charis Mok | Family Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-21 |
| 1043830045 | Diego Aviles | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-20 |
| 1689293730 | Angela Rofelty | Family Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-09 |
| 1235777269 | Jenna Danielle Stevens | Physician Assistant | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-12-20 |
| 1033773775 | Martin Robert Box | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-29 |
| 1508420456 | Kristen Anne Tremaine | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-25 |
| 1295398691 | Jordan Robert Albrich | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-21 |
| 1508429093 | Samual Kelly Lavis | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-19 |
| 1427611102 | Jacqueline Blacnche Berglass | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
| 1689977852 | Maliheh Razavi | Physician Assistant | 14508 Nw 20th Ave Ste 102, Vancouver, WA 98685 | 2010-12-10 |
| 1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
| 1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
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| 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.