Provider Demographics
NPI:1164795340
Name:ATCHLEY, JULIE K (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:K
Last Name:ATCHLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:K
Other - Last Name:PELKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:22411 NE 128TH CIR
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606-3230
Mailing Address - Country:US
Mailing Address - Phone:360-885-0777
Mailing Address - Fax:360-882-9883
Practice Address - Street 1:4100 PLOMONDON ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-5645
Practice Address - Country:US
Practice Address - Phone:360-313-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003215363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant