Provider Demographics
NPI:1356910343
Name:BORGES, KARINA
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:BORGES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 YAKIMA VALLEY HWY STE B
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1242
Mailing Address - Country:US
Mailing Address - Phone:509-839-3000
Mailing Address - Fax:509-839-1013
Practice Address - Street 1:2680 YAKIMA VALLEY HWY STE B
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1242
Practice Address - Country:US
Practice Address - Phone:509-839-3000
Practice Address - Fax:509-839-1013
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
WAPA61180196363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant