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

Jason Wang

Individual provider Physician Assistant · NPI 1174400535

Jason Wang is a Physician Assistant in Mill Creek, Washington. Qualified in 2025, 1 year ago. Practices with Optum Care Washington PLLC, a 685-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025

Practice location Address checks out

15418 Main St # 200
Mill Creek, WA 98012-9030
Phone: (425) 225-8000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA70046447 (WA)

Record details

NPI number1174400535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mill Creek