Provider Demographics
NPI:1477862878
Name:RITCHIE, CAMERON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 SWIFT BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3513
Mailing Address - Country:US
Mailing Address - Phone:509-606-5040
Mailing Address - Fax:509-946-7253
Practice Address - Street 1:821 SWIFT BLVD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3513
Practice Address - Country:US
Practice Address - Phone:509-606-5040
Practice Address - Fax:509-946-7253
Is Sole Proprietor?:No
Enumeration Date:2010-10-02
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOA60302465207X00000X, 207XS0117X, 363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2023516Medicaid
WA0448191OtherLABOR AND INDUSTRIES
WAP01213855OtherRR MEDICARE
WA2023516Medicaid