# TRACE MENDLER

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

## Provider details

- **NPI number:** 1720696768
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 14157 | MN | — |
| 363A00000X | Physician Assistant | 14157 | MN | — |
| 363A00000X | Physician Assistant | PA61106151 | WA | Yes |
| 363A00000X | Physician Assistant | PA66930 | CA | — |

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 02/09/2026