Kristie M. Mattern, PAC
Physician Assistant · University Place, WA
UnclaimedPACNPI 1023392529
- Primary taxonomy
- 363A00000X
- Enumerated
- 2011-10-03
- Practice location
- University Place, WA
- Last NPPES update
- 2022-06-20
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
- WA · Physician assistant · Osteopathic Physician Assistant LicenseExpiredthrough 2017
- WA · Surgical technologist · Surgical Technologist RegistrationExpiredthrough 2012
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.