Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Cornwall, PA-C

Individual provider Physician Assistant · NPI 1003208612

Alexandra Cornwall, PA-C is a Physician Assistant in Tacoma, Washington. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 — (401) 644-2940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003208612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address209 Martin Luther King Jr Way, Tacoma, WA 98405-4265

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