MEDICARE: MS. CATHERINE A ROBINSON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA10003507	WA

General Provider Information

NPI Number	:	1659321719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE A ROBINSON PA-C

Provider Business Mailing Address
First Line	:	PO BOX 935
Second Line	:
City	:	FREELAND
State	:	WA
Zip	:	98249-0935
Country	:	US
Telephone Number	:	360-331-3343
Fax Number	:	360-331-3373

Provider Business Practice Location Address
First Line	:	1690 LAYTON RD
Second Line	:
City	:	FREELAND
State	:	WA
Zip	:	98249-9456
Country	:	US
Telephone Number	:	360-331-3343
Fax Number	:	360-331-3373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	01/20/2015

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