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

Mr. Mansuru Mustapha, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1013159193

Mr. Mansuru Mustapha, PHYSICIANASSISTANT is a Physician Assistant in Jblm, Washington. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

9119 Mil Park Ave Winder Clinic -Raider Clinic
Jblm, WA 98433-1100
Phone: (253) 477-0800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013159193
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESMay 30, 2013

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