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

Samantha B Brunner, PA-C

Individual provider Surgical Physician Assistant · NPI 1639451750

Samantha B Brunner, PA-C is a Physician Assistant in Grand Coulee, Washington. Qualified in 2011, 15 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2011
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

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-3644
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60233756 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60233756 (WA)

Record details

NPI number1639451750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare