Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Lee Church, PA-C

Individual provider Physician Assistant · NPI 1972221638

Ryan Lee Church, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2023, 3 years ago. Practices with Community Health Center of Snohomish County, a 85-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2022
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

4201 Rucker Ave
Everett, WA 98203-2215
Phone: (425) 382-4000
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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 PA61477784 (WA)

Record details

NPI number1972221638
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Health Center Of Snohomish County — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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