Mashita, Mark W.

Mashita, Mark W. is an individual health care provider with primary practice located at 1100 Pacific Ave Ste 300 , Everett WA 98201-4261. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mashita, Mark W. can be contacted via phone (425) 339-2433.

Contact Information

Primary practice address
1100 Pacific Ave Ste 300 Everett WA 98201-4261
Phone: (425) 339-2433
Fax: (425) 339-8273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005281 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10005281 Washington

Profile Details

NPI number 1245412535
LBN Legal business name Mashita, Mark W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Apr 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245412535 NPPES
Washington MEDICAID 2012654

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