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

Mary Burnell, PA-C

Individual provider Physician Assistant · NPI 1124416508

Mary Burnell, PA-C is a Physician Assistant in Vancouver, Washington. Graduated from University of Utah School of Medicine in 2014, 12 years ago. Practices with Dermatology Associates of Southwest Washington, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Trained at
University of Utah School of Medicine
Licensed in
OR
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

8614 E Mill Plain Blvd Ste 400
Vancouver, WA 98664-2092
Phone: (541) 728-1019
Fax: (360) 254-6089
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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 PA170904 (OR)

Record details

NPI number1124416508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Dermatology Associates Of Southwest Washington, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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