person
Jason Scott Graeme, PA-C
Surgical Physician Assistant in Longview, Washington
NPI 1609917160

Jason Scott Graeme is a Surgical Physician Assistant based in Vancouver, WA and is specialized in Surgical. Jason Scott Graeme practices in Longview, WA and has the professional credentials of PA-C. The NPI Number for Jason Scott Graeme is 1609917160 and holds a License No. PA60240564 (Washington).

The current practice location address for Jason Scott Graeme is 1615 Delaware St, Longview, WA and can be reached out via phone at 360-414-2700 and via fax at 360-414-2714.

Location: 1615 Delaware St, Longview, WA, 98664-3295
person
Provider Profile Details
NPI Number
1609917160
Provider Name
Jason Scott Graeme
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1615 Delaware St, Longview, WA, 98664-3295
Phone Number
360-414-2700
Fax Number
360-414-2714
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0285594 01 WA LABOR & INDUSTRIES
500640668 05 OR
2015043 05 WA
institution
Provider Business Practice Location Address Details
Address
1615 Delaware St
City
State
Zip
98632-2367
Phone Number
360-414-2700
Fax Number
360-414-2714
person
Provider Business Mailing Address Details
Address
1615 Delaware St
City
State
Zip
98632-2367
Phone Number
360-414-2700
Fax Number
360-414-2714
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60240564 (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.
PA60240564 (Washington)
Definition
Definition to come...
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