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Mr. Tanner James Vick, PA-C
Surgical Physician Assistant in Everett, Washington
NPI 1487632667

Tanner James Vick is a Surgical Physician Assistant based in Portland, WA and is specialized in Surgical. Tanner James Vick practices in Everett, WA and has the professional credentials of PA-C. The NPI Number for Tanner James Vick is 1487632667 and holds a License No. PA10004747 (Washington).

The current practice location address for Tanner James Vick is 1330 Rockefeller Ave, Everett, WA and can be reached out via phone at 425-297-5200 and via fax at 425-297-5210. You can also correspond with Tanner James Vick through the mailing address at PO BOX 3360, PORTLAND, OR - 97208-3360 (mailing address contact number: 866-366-2983).

Location: 1330 Rockefeller Ave, Everett, WA, 97208-3360
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Provider Profile Details
NPI Number
1487632667
Provider Name
Tanner James Vick
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1330 Rockefeller Ave, Everett, WA, 97208-3360
Phone Number
425-297-5200
Fax Number
425-297-5210
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191975 01 WA L&I PROVIDER NUMBER
8412868 05 WA
institution
Provider Business Practice Location Address Details
Address
1330 Rockefeller Ave
City
State
Zip
98201-1684
Phone Number
425-297-5200
Fax Number
425-297-5210
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Provider Business Mailing Address Details
Address
Po Box 3360
City
State
Zip
97208-3360
Phone Number
866-366-2983
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004747 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10004747 (Washington)
Definition
Definition to come...
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