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

Individual provider Surgical Physician Assistant · NPI 1093751703

Kyle M. Richter, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2000, 26 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2006
Specialties on file
2
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

2529 NE 139th St
Vancouver, WA 98686-2719
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Ne Mother Joseph Pl, Vancouver, WA 98664-3299 — (360) 254-6161

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004033 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10004033 (WA)

Record details

NPI number1093751703
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Vancouver