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

Jonathan David Cyphers, PA

Individual provider Medical Physician Assistant · NPI 1134364813

Jonathan David Cyphers, PA is a Physician Assistant in Bonney Lake, Washington. Qualified in 2008, 18 years ago. Practices with Lark Dermatology, a 5-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

21137 Sr 410 E Ste I
Bonney Lake, WA 98391-8775
Phone: (253) 862-5275
Fax: (855) 673-1403
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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 PA60061955 (WA)

Record details

NPI number1134364813
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2008
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lark Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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