Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Spencer Patrick Fayles, PA-S

Individual provider Medical Physician Assistant · NPI 1679459978

Mr. Spencer Patrick Fayles, PA-S is a Physician Assistant in Puyallup, Washington. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025
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Practice location Address checks out

4505 S Meridian Ste A
Puyallup, WA 98373-5002
Phone: (253) 697-5780
Fax: (253) 864-2972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5700 100th St Sw Ste 500, Lakewood, WA 98499-2763 — (253) 459-6005

Specialties & licences

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

Record details

NPI number1679459978
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Puyallup