Individual
LEISA S GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 E 2ND ST, NACHES, WA 98937-9743
(509) 653-2235
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003091
WA
363AM0700X
Medical Physician Assistant
PA10003091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310585
STATE L&I
WA
01
—
0462644
LABOR AND INDUSTRIES
WA
05
—
2018178
—
WA
Enumeration date
11/17/2011
Last updated
04/16/2026
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