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

Individual provider Physician Assistant · NPI 1700569944

Shiva Norouzi, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
3
Licensed in
OR, WA
In the registry since
2023
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

6529 NE Highway 99
Vancouver, WA 98665-8719
Phone: (360) 836-0065
Fax: (360) 900-0488
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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 PA61476193 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA217555 (OR)

Record details

NPI number1700569944
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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