Individual
ANDREW MUSGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(855) 333-6947
Mailing address
1945 NW RALEIGH ST, PORTLAND, OR 97209-1714
(808) 295-9821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.PA.70046904
WA
Other
Enumeration date
06/24/2024
Last updated
11/18/2025
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