Search › Washington › 363A00000X
Mikel Mcmakin, PA-C
NPI 1851154256 · on the registry since 2024 · sole proprietor
Practice
- Address
- 21137 Sr 410 E Ste I
Bonney Lake, WA 98391 - Phone
- (253) 862-5275
- Fax
- (855) 673-1403
- Organisation at this address
- Innovative Wound Healing & Dermatology
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 5200 Meadows Rd Ste 200, Lake Oswego, OR
- 413 29th St Ne Ste I, Puyallup, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AM0700X
363AM0700X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-28
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