Search › Washington › 363A00000X
Jason Shepherd, PA-C
NPI 1598112054 · on the registry since 2016
Practice
- Address
- 727 N Tower Ave
Centralia, WA 98531 - Phone
- (360) 557-2027
- Organisation at this address
- Gather Church
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 1299 Bishop Rd, Chehalis, WA
- 1818 Harrison Ave, Centralia, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington