Individual
NICHOLAS E AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1706 WASHINGTON WAY, LONGVIEW, WA 98632-2952
(360) 423-0390
(360) 577-3865
Mailing address
PO BOX 1338, LONGVIEW, WA 98632-7785
(360) 423-0390
(360) 577-3865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60947788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60947788
DEPARTMENT OF HEALTH
WA
Enumeration date
08/21/2019
Last updated
08/21/2019
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