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NPI Code Detail

MEDICARE: MS. HEATHER CUSHING PA-C

MEDICARE:  MS. HEATHER  CUSHING  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
1363A00000XPhysician AssistantPA100005005WA

General Provider Information

NPI Number : 1710937305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER CUSHING PA-C
Provider Business Mailing Address
First Line : PO BOX 368
Second Line :
City : OLYMPIA
State : WA
Zip : 98507-0368
Country : US
Telephone Number : 360-455-5144
Fax Number :
Provider Business Practice Location Address
First Line : 3901 CAPITAL MALL DR SW STE A
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8654
Country : US
Telephone Number : 360-570-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 05/27/2026

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Directions to “ MS. HEATHER CUSHING PA-C” Practice Location

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