MR. RICHARD ALLEN ENDERS JR. (NPI# 1598977746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598977746 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ALLEN ENDERS JR. |
| Credential | PAC |
| Practice Address |
9430 Ne Vancouver Mall Dr Vancouver WA 98662-6172 |
| Mailing Address |
14611 Ne 165th Ave Brush Prairie WA 98606-9610 |
| Practice Telephone | 3602536947 |
| Practice Fax Number | 3604486324 |
| Mailing Telephone | 3602567344 |
| Mailing Fax Number | 3602567344 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10000092 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TAX ID | 91-1878809 | 01 |
| Street Address |
9430 NE VANCOUVER MALL DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316928765 | Michael Kent Mcquivey | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2005-11-10 |
| 1912505892 | Tyler Erickson | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2020-10-13 |
| 1710590633 | Alexa Jordan Burwell | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2020-08-29 |
| 1396397261 | Khanh-uyen Tina Huu Nguyen | Family Medicine | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2019-07-11 |
| 1437530185 | Man Alive, LLC | Internal Medicine | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2015-06-17 |
| 1689073348 | Elnathan Eldredge | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2014-08-19 |
| 1982033171 | Bryan Thomas Rhoads | Physician Assistant | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2013-11-07 |
| 1639479413 | Crystal Lynn Monaghan | Massage Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2010-10-27 |
| 1528109337 | Vancouver Rehabilitation and Therapy Clinic P.s. | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2007-02-12 |
| 1740321553 | Urgent Medical Center Ps | Family Medicine | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2007-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028013 | Nina Mulargia | Physician Assistant | 4912 Ne 54th Ave, Vancouver, WA 98661-2742 | 2019-11-21 |
| 1902387863 | Theodore Rohan Thomas IIi | Physician Assistant | 2370 E 3rd Loop # 203a, Vancouver, WA 98661-7725 | 2018-08-28 |
| 1902310345 | Elowyn Smith | Physician Assistant | 16219 Se 12th St Ste 206, Vancouver, WA 98683-8906 | 2017-11-21 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1275910929 | Brandon Bruce Mascott | Physician Assistant | 16811 Se Mcgillivray Blvd # 101, Vancouver, WA 98683-3404 | 2015-05-01 |
| 1043614167 | Robyn Elizabeth Nash | Physician Assistant | 812 Se 136th Ave, Unit #l126, Vancouver, WA 98683-6943 | 2014-10-17 |
| 1588935498 | Krista Letsch | Physician Assistant | 14201 Ne 20th Ave Ste 3101, Vancouver, WA 98686-6414 | 2012-01-24 |
| 1528335130 | Jaime Erin Hamilton | Physician Assistant | 900 Ne 139th St Ste 202, Vancouver, WA 98685-2513 | 2011-11-28 |
| 1669760120 | Todd J. Cichosz | Physician Assistant | 2510 Columbia House Blvd, Vancouver, WA 98661-7763 | 2011-07-19 |
| 1992092324 | Jaime Larynn Simpkins | Physician Assistant | 400 Ne Mary Joseph Place, Vancouver, WA 98664 | 2011-07-06 |
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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.