PAUL MORTLOCK, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1376506733
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA10004695 (WA) |
| Physician Assistant - Medical | 363AM0700X | Yes | PA10004695 (WA) |
Frequently Asked Questions
NPI 1376506733 is the National Provider Identifier for PAUL MORTLOCK, PA-C, a Physician Assistant - Medical provider located in Vancouver, WA. This NPI was enumerated on April 7, 2006.
PAUL MORTLOCK, PA-C practices at 400 NE MOTHER JOSEPH PL, Vancouver, WA 98664.
Quick Facts
- NPI
- 1376506733
- Type
- Individual
- Enumerated
- Apr 7, 2006
- Last Updated
- Aug 29, 2024
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