# JASON A ROMRIELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700855574
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA-684 | ID | Yes |
| 363A00000X | Physician Assistant | PA10004260 | WA | — |
| 363AS0400X | Surgical Physician Assistant | PA-684 | ID | — |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 12/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010145420 | REGENCE BLUE SHIELD OF ID | ID |
| 01 | — | 0157290 | DEPT OF LABOR & INDUSTRIE | WA |
| 01 | — | 20003823 | MEDICARE PTAN | ID |
| 01 | — | 23795 | GROUP HEALTH NW | WA |
| 01 | — | 379109600 | OWCP | WA |
| 05 | — | 807036200 | — | ID |
| 05 | — | 8387334 | — | WA |
| 01 | — | 8893RO | ASURIS NW HEATLH | WA |
| 01 | — | 8903289 | CRIME VICTIMS | WA |
| 01 | — | 970024321 | RR MEDICARE | WA |
| 01 | — | K6484 | BLUE CROSS OF IDAHO | ID |