Healthcare Provider Details

I. General information

NPI: 1477462331
Provider Name (Legal Business Name): ERIK NORDQUIST PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6126 68TH ST SE
SNOHOMISH WA
98290-6051
US

IV. Provider business mailing address

6126 68TH ST SE
SNOHOMISH WA
98290-6051
US

V. Phone/Fax

Practice location:
  • Phone: 425-876-5539
  • Fax:
Mailing address:
  • Phone: 425-876-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: