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

Mr. Ethan D Washburn, PA-C

Individual provider Medical Physician Assistant · NPI 1003142936

Mr. Ethan D Washburn, PA-C is a Physician Assistant in Moses Lake, Washington. Qualified in 2009, 17 years ago. Practices with Columbia Basin Health Association, a 43-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone: (509) 793-9770
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60120190 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60120190 (WA)

Record details

NPI number1003142936
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2009
Last updated in NPPESNovember 21, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Columbia Basin Health Association — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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