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

Marcel Gerardo Perez Reveron

Individual provider Physician Assistant · NPI 1174370332

Marcel Gerardo Perez Reveron is a Physician Assistant in Spokane, Washington. Graduated from Morehouse School of Medicine in 2025, 1 year ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Trained at
Morehouse School of Medicine
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

62 W 7th Ave Ste 420
Spokane, WA 99204-2321
Phone: (509) 626-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Westview Dr Sw, Atlanta, GA 30310-1458 — (404) 756-1959

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA70076782 (WA)

Record details

NPI number1174370332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane