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

Annie M Coronado, PA

Individual provider Medical Physician Assistant · NPI 1154757359

Annie M Coronado, PA is a Physician Assistant in Othello, Washington. Graduated from University of Washington School of Medicine in 2013, 13 years ago. Practices with Columbia Basin Health Association, a 43-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1515 E Columbia St
Othello, WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60415801 (WA)

Record details

NPI number1154757359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Columbia Basin Health Association — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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