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

Nathan Aaron De Witt, PA-C

Individual provider Physician Assistant · NPI 1790786705

Nathan Aaron De Witt, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2004, 22 years ago. Practices with Iora Health Washington Physicians PC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2005
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: (253) 435-3100
Fax: (253) 435-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3705 S Meridian Ste B, Puyallup, WA 98373-3709 — (253) 765-5050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60455073 (WA)

Record details

NPI number1790786705
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Iora Health Washington Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup