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

Individual provider Physician Assistant · NPI 1922546027

Mr. Nicholas Portalski, PA-C is a Physician Assistant in Puyallup, Washington. Works from 2 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2017
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

1007 39th Ave SE
Puyallup, WA 98374-2192
Phone: (534) 457-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1404 Pomerelle Ave, Burley, ID 83318-2012 — (208) 878-8783

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60892458 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA-1472 (ID)

Record details

NPI number1922546027
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2017
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

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