Individual
MR. MARK W. MASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273
Mailing address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005281
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10005281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012654
—
WA
Enumeration date
11/29/2007
Last updated
04/15/2024
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