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

Individual provider Physician Assistant · NPI 1992681043

Moises Cordova, PA-C is a Physician Assistant in Walla Walla, Washington. Graduated from San Juan Bautista School of Medicine in 2025, 1 year ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Trained at
San Juan Bautista School of Medicine
Licensed in
WA
In the registry since
2025
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

380 Chase Ave
Walla Walla, WA 99362-2924
Phone: (509) 897-3790
Fax: (509) 897-5558
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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 PA70039676 (WA)

Record details

NPI number1992681043
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 13, 2025
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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