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

Mrs. Tina Faith Derr, PA-C

Individual provider Physician Assistant · NPI 1093797961

Mrs. Tina Faith Derr, PA-C is a Physician Assistant in Dayton, Washington. Licensed in New Mexico and Washington. Registered with an NPI since 2005.

Licensed in
NM, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1012 S Third Street Columbia Family Clinic
Dayton, WA 99328
Phone: (509) 382-3200
Fax: (509) 382-2748
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60426271 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA2004-0030 (NM)

Record details

NPI number1093797961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESMarch 7, 2023

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