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Ty C. Gulstrom, PA-C
Medical Physician Assistant in Mount Vernon, Washington
NPI 1558306373

Ty C. Gulstrom is a Medical Physician Assistant based in Mount Vernon, WA and is specialized in Medical. Ty C. Gulstrom practices in Mount Vernon, WA and has the professional credentials of PA-C. The NPI Number for Ty C. Gulstrom is 1558306373 and holds a License No. PA10004348 (Washington).

The current practice location address for Ty C. Gulstrom is 1400 E. Kincaid Street, Mount Vernon, WA and can be reached out via phone at 360-428-6434 and via fax at 360-848-4233.

Location: 1400 E. Kincaid Street, Mount Vernon, WA, 98274-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558306373
Provider Name
Ty C. Gulstrom
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1400 E. Kincaid Street, Mount Vernon, WA, 98274-4127
Phone Number
360-428-6434
Fax Number
360-848-4233
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8386484 05 WA
3479GU 01 WA BSWA
605960012 01 USDLAB
0216864 01 WA LIWA
institution
Provider Business Practice Location Address Details
Address
1400 E. Kincaid Street
City
Mount Vernon
State
Washington
Zip
98274-4127
Phone Number
360-428-6434
Fax Number
360-848-4233
person
Provider Business Mailing Address Details
Address
1400 E. Kincaid Street
City
Mount Vernon
State
Washington
Zip
98274-4127
Phone Number
360-428-6434
Fax Number
360-848-4233
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
PA10004348 (Washington)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA10004348 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10004348 (Washington)
Definition
Definition to come...
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