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

Michael Koplowitz, PAC

Individual provider Physician Assistant · NPI 1053768440

Michael Koplowitz, PAC is a Physician Assistant in Bellevue, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

11511 NE 10th St
Bellevue, WA 98004-8578
Phone: (425) 502-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4311 11th Ave Ne, Seattle, WA 98105-6366 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60796445 (WA)

Record details

NPI number1053768440
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address11511 Ne 10th St, Bellevue, WA 98004-8578

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