Kyle Shafer
Kyle Shafer is a Physician Assistant in Ilwaco, Washington. Qualified in 2020, 6 years ago. Practices with Public Hospital District 3 of Pacific County, a 21-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 6
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
176 1st Ave NIlwaco, WA 98624-9137
Phone: (360) 642-3747
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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 61076997 (WA) |
|---|
Record details
| NPI number | 1376172775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2020 |
| Last updated in NPPES | July 22, 2020 |
| Certification date | July 22, 2020 |
| Mailing address | 35585 Bella Ridge Loop, Astoria, OR 97103-6630 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Public Hospital District 3 Of Pacific County — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ilwaco
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Mr. Steven L Bellinger, PAC
176 1st Ave N, Ilwaco, WA 98624-0319 · (360) 642-3747
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Danielle Meyen
174 1st Ave N, Ilwaco, WA 98624-9137 · (360) 642-3181