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

Individual provider Physician Assistant · NPI 1932852233

Jared M Godwin, PA-C is a Physician Assistant in Burien, Washington. Qualified in 2021, 5 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2022
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

16259 Sylvester Rd SW Ste 501
Burien, WA 98166-3059
Phone: (206) 243-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61257805 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA.61257805 (WA)

Record details

NPI number1932852233
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Burien