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

Individual provider Physician Assistant · NPI 1720757172

Mr. Zachary Mason Thorgrimson, PA-C is a Physician Assistant in Bonney Lake, Washington. Qualified in 2021, 5 years ago. Practices with South Hill Family Medicine PC, a 66-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
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

10004 204th Ave E Fl 3
Bonney Lake, WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61229469 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720757172
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Hill Family Medicine Pc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bonney Lake