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

Mr. Daven Marcel Pantohan, PA-C

Individual provider Surgical Physician Assistant · NPI 1235531393

Mr. Daven Marcel Pantohan, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2015, 11 years ago. Practices with Western Washington Medical Group Inc Ps, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2014
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

3726 Broadway Ste 201
Everett, WA 98201-3788
Phone: (425) 317-9119
Fax: (425) 317-9118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Broadway, Seattle, WA 98122-5330 — (206) 386-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60611622 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60611622 (WA)

Record details

NPI number1235531393
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2014
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Western Washington Medical Group Inc Ps — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Everett