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

Individual provider Medical Physician Assistant · NPI 1033548144

Fantahun Mulugeta Tedla, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2013, 13 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington and West Virginia.

Years since qualifying
13
Licensed in
WA, WV
In the registry since
2013
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

3927 Rucker Ave
Everett, WA 98201
Phone: (425) 339-5422
Fax: (425) 339-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 419 Brooks St, Charleston, WV 25301-1811 — (304) 388-6004
  • 419 Brooks St, Charleston, WV 25301-1811 — (304) 388-6004

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60464318 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 623 (WV)

Record details

NPI number1033548144
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2013
Last updated in NPPESNovember 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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