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

Justin Charles Cooper, PA-C

Individual provider Physician Assistant · NPI 1316339385

Justin Charles Cooper, PA-C is a Physician Assistant in Centralia, Washington. Qualified in 2016, 10 years ago. Practices with St Vincent Hospital, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2015
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

1800 Cooks Hill Rd Ste F
Centralia, WA 98531-9072
Phone: (360) 827-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60640498 (WA)

Record details

NPI number1316339385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2015
Last updated in NPPESFebruary 22, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Centralia