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

Individual provider Physician Assistant · NPI 1154804854

Alexandra Hurtado Dammen, PA-C is a Physician Assistant in Bonney Lake, Washington. Qualified in 2019, 7 years ago. Practices with Wake Emergency Physicians PA, a 273-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2018
Specialties on file
2
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

9230 Sky Island Dr E
Bonney Lake, WA 98391-7385
Phone: (253) 750-6000
Fax: (253) 750-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61001213 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61001213 (WA)

Record details

NPI number1154804854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wake Emergency Physicians Pa — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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