Jon Derik Mortensen, PAC
Jon Derik Mortensen, PAC is a Physician Assistant in Lakewood, Washington. Qualified in 2006, 20 years ago. Practices with Community Health Care, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 20
- Licensed in
- WA
- In the registry since
- 2006
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
10510 Gravelly Lake Dr Community Health Care - Lakewood ClinicLakewood, WA 98499
Phone: (253) 589-7030
Fax: (253) 589-7033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA10005073 (WA) |
|---|
Record details
| NPI number | 1407930456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | October 25, 2006 |
| Last updated in NPPES | June 14, 2012 |
| Mailing address | 1019 Pacific Ave Ste 300, Attn Hr, Tacoma, WA 98402-4488 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Community Health Care — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lakewood
-
Kari Elizabeth Garcia, PA-C
7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 · (253) 582-7257
-
Mrs. Margaret Colleen Gram, PA-C
9600 Veterans Dr Dept OF Veterans Affairs, Lakewood, WA 98493 · (253) 582-8440
-
Krista Elizabeth Guyll, PA-C
7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 · (253) 582-7257
-
Shae Kanakaole, PA-C
7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 · (253) 582-7257
-
Marisol Salazar
10510 Gravelly Lake Dr SW, Lakewood, WA 98499-5036 · (253) 597-4550
-
Shinsung Yook
8511 S Tacoma Way Ste 200, Lakewood, WA 98499-6521 · (253) 588-4015