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

Individual provider Medical Physician Assistant · NPI 1669493516

Jeffrey C Vantroba, PA-C is a Physician Assistant in Yakima, Washington. Qualified in 1998, 28 years ago. Practices with Integrative Dermatology, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
28
Licensed in
WA
In the registry since
2006
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

1607 Creekside Loop Ste 140
Yakima, WA 98902-4882
Phone: (509) 969-9076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10003839 (WA)

Record details

NPI number1669493516
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address1607 Creekside Loop Ste 140, Yakima, WA 98902-4882

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Integrative Dermatology — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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