Individual
JAMES F CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
209 S 12TH AVE, YAKIMA, WA 98902-3110
(509) 577-4600
(509) 577-4619
Mailing address
732 SUMMITVIEW AVE # 621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8383333
—
WA
Enumeration date
07/26/2006
Last updated
01/09/2009
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