Provider Demographics
NPI:1659321719
Name:ROBINSON, CATHERINE A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:F
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:PO BOX 935
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-0935
Mailing Address - Country:US
Mailing Address - Phone:360-331-3343
Mailing Address - Fax:360-331-3373
Practice Address - Street 1:1690 LAYTON RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9456
Practice Address - Country:US
Practice Address - Phone:360-331-3343
Practice Address - Fax:360-331-3373
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003507363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8923607Medicare PIN
WAGAB06481Medicare PIN
ORR163825Medicare PIN
S55851Medicare UPIN
WA8390296Medicaid
ORR165635Medicare PIN
ORR165632Medicare PIN
ORR165634Medicare PIN
ORR165636Medicare PIN
OR500641617Medicaid
WAG8905682Medicare PIN