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

Mr. Phillip Randall Ingram, PAC

Individual provider Medical Physician Assistant · NPI 1942262589

Mr. Phillip Randall Ingram, PAC is a Medical Physician Assistant in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

9600 Veterans Dr SW
Tacoma, WA 98493-0003
Phone: (253) 582-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10002587 (WA)

Record details

NPI number1942262589
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESJuly 13, 2026

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