Individual
ERIC PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-5086
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-2311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0201365405
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098226
—
WA
Enumeration date
03/31/2017
Last updated
07/06/2018
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