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

Michaela Etherton, PA-S

Individual provider Physician Assistant · NPI 1619586153

Michaela Etherton, PA-S is a Physician Assistant in Vancouver, Washington. Qualified in 2021, 5 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 NE Mother Joseph Pl Ste 300
Vancouver, WA 98664-3296
Phone: (360) 254-6161
Fax: (360) 803-0847
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 — (360) 254-6161

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61229907 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61229907 (WA)

Record details

NPI number1619586153
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address200 Ne Mother Joseph Pl Ste 210, Vancouver, WA 98664-3295

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Vancouver