Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miguel Blas-Matus, PA-C

Individual provider Physician Assistant · NPI 1932409075

Miguel Blas-Matus, PA-C is a Physician Assistant in Othello, Washington. Qualified in 2010, 16 years ago. Practices with Columbia Basin Health Association, a 43-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2010
Specialties on file
2
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

1515 E Columbia St
Othello, WA 99344-9934
Phone: (509) 488-5256
Fax: (509) 488-9939
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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 PA60195247 (WA)
Physician Assistant Taxonomy 363A00000X (WA)

Record details

NPI number1932409075
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2010
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Columbia Basin Health Association — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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