Brian Wirkus , PA-C
Physician Assistant โข Olympia, WA
149 Lilly Rd Ne
Olympia, WA 985065028
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 24, 2021; this date does not establish years in practice.
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Published CMS data list 1,239 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 51798 โ Ultrasound measurement of bladder capacity after voiding: 329 service units.
- 99213 โ Established patient outpatient office visit: 307 service units.
- 81003 โ Automated urinalysis test: 196 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,130 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 442 prescription fills, including refills.
- Finasteride โ 186 prescription fills, including refills.
- Alfuzosin Hcl Er (Alfuzosin Hcl) โ 73 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 18 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: 561. Middle half: 182 to 1,123.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 40 in 2021 to 1,239 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
149 Lilly Rd Ne
Olympia, WA 985065028
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Ihc Health Services Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
518 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $62,684 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $39,936 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,428 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$95,576 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $733.16 across 8 records.
By nature of payment
- Food and Beverage: $472.21 across 6 records.
- Travel and Lodging: $260.95 across 2 records.
Reporting-company totals (3 largest of 4)
- Medtronic, Inc.: $536.05 across 5 records.
- Boston Scientific Corporation: $90.95 across 1 record.
- Valencia Technologies Corporation: $74.65 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Brian Wirkus has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Brian Wirkus as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Olympia and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: 561. Middle half: 182 to 1,123.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: $35,507. Middle half: $11,260 to $61,647.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: $25,944. Middle half: $7,900 to $43,188.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Olympia, WA (2024, 60 clinicians with data). Median for this group: 383. Middle half: 81 to 782.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Olympia, WA (2024, 60 clinicians with data). Median for this group: $5,722. Middle half: $861 to $55,394.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.
108 active clinicians are listed under Physician Assistant with a practice address in Olympia, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Olympia
12% of these 108 clinicians have the CMS telehealth indicator.
66.7% of these 108 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 2998% from 40 in 2021 to 1,239 in 2024.
- 2021: 40
- 2022: 327
- 2023: 1,937
- 2024: 1,239
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Medicare-allowed amount
Medicare-allowed amount increased 2576% from $2,342 in 2021 to $62,684 in 2024.
- 2021: $2,342
- 2022: $19,208
- 2023: $103,469
- 2024: $62,684
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Paid by Medicare
Paid by Medicare increased 2031% from $1,874 in 2021 to $39,936 in 2024.
- 2021: $1,874
- 2022: $14,987
- 2023: $74,454
- 2024: $39,936
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 648% from 151 in 2022 to 1,130 in 2024.
- 2022: 151
- 2023: 1,197
- 2024: 1,130
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30-day fills
30-day fills increased 697% from 305 in 2022 to 2,428 in 2024.
- 2022: 305
- 2023: 2,555
- 2024: 2,428
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Part D drug cost
Part D drug cost increased 637% from $12,973 in 2022 to $95,576 in 2024.
- 2022: $12,973
- 2023: $115,506
- 2024: $95,576
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $23.51 in 2022 to $733.16 in 2025.
- 2022: $23.51
- 2023: $1,268.30
- 2024: $64.66
- 2025: $733.16
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $733.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
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INTERSTIM | General | $250.95 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTERSTIM | General | $113.13 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTERSTIM | General | $104.20 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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LithoVue | General | $90.95 |
| Valencia Technologies Corporation |
Food and Beverage
Cash or cash equivalent
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eCoin Device Kit | General | $74.65 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTERSTIM | General | $57.77 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $31.51 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
INTERSTIM | General | $10.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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51798
Ultrasound measurement of bladder capacity after voiding
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329 | 256 | $36.94 | $10.67 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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307 | 253 | $249.64 | $74.85 |
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81003
Automated urinalysis test
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196 | 144 | $5.43 | $2.19 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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110 | 106 | $314.04 | $104.71 |
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51702
Simple insertion of temporary bladder tube
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70 | 50 | $179.49 | $52.03 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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58 | 58 | $388.29 | $135.76 |
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51720
Instillation of anti-cancer drug into bladder
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39 | 16 | $258.10 | $73.21 |
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64566
Insertion of lower leg neurostimulator electrode
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38 | 15 | $346.55 | $97.50 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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28 | 25 | $130.57 | $45.56 |
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51700
Simple bladder irrigation and/or instillation
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26 | 20 | $225.77 | $64.38 |
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51705
Simple change of bladder tube
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26 | 14 | $289.35 | $82.14 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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12 | 12 | $268.83 | $90.48 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 442 | 34,400 | $9,329.76 | 206 |
| Finasteride | Finasteride | 186 | 15,589 | $3,257.59 | 84 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 73 | 5,130 | $2,077.24 | 30 |
| Myrbetriq | Mirabegron | 71 | 2,338 | $35,524.61 | 24 |
| Gemtesa | Vibegron | 63 | 2,394 | $38,674.94 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 50 | 732 | $318.89 | 44 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 42 | 2,452 | $514.80 | 15 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 34 | 260 | $284.23 | 30 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 32 | 237 | $274.58 | 29 |
| Oxybutynin Chloride | Oxybutynin Chloride | 25 | 1,065 | $356.69 | โ |
| Estradiol | Estradiol | 22 | 1,412 | $1,286.17 | 18 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 18 | 868 | $970.65 | โ |
| Solifenacin Succinate | Solifenacin Succinate | 17 | 1,160 | $949.25 | โ |
| Fluconazole | Fluconazole | 11 | 49 | $95.27 | โ |
| Doxazosin Mesylate | Doxazosin Mesylate | 11 | 570 | $272.59 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | 252 | $305.87 | โ |
| Testosterone Cypionate | Testosterone Cypionate | 11 | 539 | $537.08 | โ |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 11 | 390 | $545.90 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-09-19NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240401002616
UT
5395152524
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ihc Health Services Inc
1380 E Medical Ctr Dr, St George, UT 847902127
Phone: 4352512600
Ihc Health Services Inc
1380 E Medical Ctr Dr, St George, UT 847902129
Phone: 4352513250
Ihc Health Services Inc
736 S 900, St George, UT 847907000
Phone: 4352513250
Ihc Health Services Inc
166 W 1325, Cedar City, UT 847217796
Phone: 4355868192
Ihc Health Services Inc
700 S Hwy 99, Fillmore, UT 846315137
Phone: 8013574600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Internal Medicine - Infectious Disease
Doctor of Osteopathic Medicine (D.O.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 149 LILLY RD NE, OLYMPIA, WA 985065028 (Tel: 3604866772)
Registered at PO BOX 3360, PORTLAND, OR 972083360
NPI status registered as active in NPPES database
Registered at 954 ANDERSON DR STE 101A, ABERDEEN, WA 985201001 (Tel: 3606123069)
Registered at 260 LEE ST SW, TUMWATER, WA 985014403 (Tel: 3607543825)
Recorded as BRIAN WIRKUS, PA-C
Physician Assistant (license number reported to NPPES: WA PA61148937)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Olympia
- Cheyenne Hardy, PA-C
- Tony Wrinkle
- Elizabeth Rice-Reynolds
- Paul Taylor, PA
- Samantha Ferguson, PA-C
- Bruce Wing, PA-C
Mailing Address
Po Box 3360
Portland, OR 972083360