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

Fortunato Placencia Jr.

Individual provider Physician Assistant · NPI 1790664068

Fortunato Placencia Jr. is a Physician Assistant in Mountlake Terrace, Washington. Graduated from University of Washington School of Medicine in 2024, 2 years ago. Practices with Sound Pain Alliance, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
2
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2025

Practice location Address checks out

6808 220th St SW Ste 201
Mountlake Terrace, WA 98043-2187
Phone: (425) 640-6976
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)

Record details

NPI number1790664068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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 2024 (2 years in practice)
Group practice Sound Pain Alliance — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mountlake Terrace