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

Tina Malm, PA

Individual provider Medical Physician Assistant · NPI 1003041898

Tina Malm, PA is a Physician Assistant in Everett, Washington. Qualified in 2007, 19 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Virginia.

Years since qualifying
19
Licensed in
LA, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2205 Broadway
Everett, WA 98201-2321
Phone: (888) 227-3312
Fax: (425) 259-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1668 Us-51 N, Ponchatoula, LA 70454 — (985) 401-4022

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 324081 (LA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110002949 (VA)

Record details

NPI number1003041898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing addressPo Box 2928, Portland, OR 97208-2928

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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