Healthcare Provider Details

I. General information

NPI: 1679723761
Provider Name (Legal Business Name): DANA CHRISTINE BALL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA CHRISTINE GILBERTSEN PA-C

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3927 RUCKER AVE
EVERETT WA
98201-4833
US

IV. Provider business mailing address

7600 EVERGREEN WAY
EVERETT WA
98203-6421
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5422
  • Fax: 425-339-5444
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA 60386446
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA030627
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60386446
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC0003863
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: