Larry G. Malcolm, PA-C
Physician Assistant · Tacoma, WA
UnclaimedPA-CNPI 1952525248
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-04-11
- Practice location
- Tacoma, WA
- Last NPPES update
- 2007-07-08
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseSurrenderedthrough 2014
- WA · Practical nurse · Licensed Practical NurseExpiredthrough 1992
“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.